Organization
UTUADO SONOGRAPHY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVANIS N RIVERA SERRANO (PRESIDENT)
(787) 485-7162
Entity
Organization
Contact information
Practice address
79 CALLE DR CUETO, UTUADO, PR 00641-2804
(787) 485-7162
Mailing address
HC 4 BOX 9213, UTUADO, PR 00641-7718
(787) 485-7162
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5041721
ID
PR
Enumeration date
12/30/2024
Last updated
01/05/2025
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