Organization
J K RADIOLOGY GROUP INC
Active
Other names
TRUJILO ALTO IMAGING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE J. SANTIAGO VEGA (PRESIDENT)
(787) 748-2840
Entity
Organization
Contact information
Practice address
AVE 181 KM 2.1, TRUJILLO MEDICAL SUITE 202 Y 203, TRUJILLO ALTO, PR 00976
(787) 748-2840
(787) 748-2840
Mailing address
EDIF. N APT. 205, COND. WOODLAND, TRUJILLO ALTO, PR 00976
(787) 748-2840
(787) 748-2840
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA0913
RADIOLOGY
PR
Enumeration date
07/03/2008
Last updated
08/14/2008
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