# FAJARDO IMAGING INC

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

## Provider details

- **NPI number:** 1871646372
- **Authorized official:** DR. DIANA FERNANDEZ RADIOLOGIST (PRESIDENTOWNER)
- **Authorized official phone:** (787) 860-3400

## Contact information

- **Practice address:** 316 GENERAL VALERO STREET, FAJARDO, PR 00738
- **Practice address phone:** (787) 860-3400
- **Practice address fax:** (787) 863-2075
- **Mailing address:** PO BOX 490, PUERTO REAL, FAJARDO, PR 00738-0490
- **Mailing address phone:** (787) 860-3400
- **Mailing address fax:** (787) 863-2075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 10/10/2011