Organization
COSTA SALUD CHC RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M QUINONES (EXECUTIVE DIRECTOR)
(787) 823-5500
Entity
Organization
Contact information
Practice address
28 CALLE MUNOZ RIVERA W, RINCON, PR 00677
(787) 823-5555
(787) 823-2990
Mailing address
PO BOX 638, RINCON, PR 00677-0638
(787) 823-5555
(787) 823-2990
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
56
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010116
PROVIDER NUMBER
PR
Enumeration date
12/08/2010
Last updated
11/03/2025
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