# PR IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871323170
- **Authorized official:** DR. RICARDO A LOPEZ DIAZ MD (PRESIDENT)
- **Authorized official phone:** (787) 668-2362

## Contact information

- **Practice address:** CARR 2 KM 11.7, BAYAMON MEDICAL CENTER, BAYAMON, PR 00959
- **Practice address phone:** (787) 620-8181
- **Mailing address:** PO BOX 8804, PONCE, PR 00732-8804
- **Mailing address phone:** (787) 620-6181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2024
- **Last updated:** 08/02/2024