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Organization
SAN SEBASTIAN X RAY
Active
Organization
SAN SEBASTIAN X RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAISA MUSA QUINONES (OWNER)
(787) 280-0981
Entity
Organization
Contact information
Practice address
CARR 111 KM 18.0 BIO MAHOMAMEY, SAN SEBASTIAN, PR 00685
(787) 280-0981
(787) 280-0984
Mailing address
PO BOX 3144, SAN SEBASTIAN, PR 00685-7003
(787) 280-0981
(787) 280-0984
Taxonomy
Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
232321
PR
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2005
Last updated
11/17/2011
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