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Organization
INNOVATIVE MEDICAL AND RADIOLOGY MANAGEMENT
Active
Organization
INNOVATIVE MEDICAL AND RADIOLOGY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS DEL RIO ROURE M.D. (PRESIDENT)
(787) 730-1166
Entity
Organization
Contact information
Practice address
CARR. 165 KM 8.1, TOA ALTA, PR 00953
(787) 730-1166
Mailing address
162 CALLE BEGONIA, CIUDAD JARDIN 2, TOA ALTA, PR 00953-4855
(787) 730-1166
(787) 746-1425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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