Organization
MANUEL MEDINA
Active
Parent organization
SOUTH WESTERN RADIOLOGY SERVICES PSC
Other names
Advanced MRI & CT Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH WESTERN RADIOLOGY SERVICES PSC
Authorized official
MRS. MARIELY GONZALEZ (OFFICE ADMINISTRATOR)
(787) 607-1591
Entity
Organization
Contact information
Practice address
ROAD PR-2 MARGINAL D-10, URB. VILLA REAL, VEGA BAJA, PR 00694
(787) 807-0900
(787) 855-2729
Mailing address
PO BOX 1498, VEGA BAJA, PR 00694-1498
(787) 807-0900
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780652594
—
SC
Enumeration date
05/15/2024
Last updated
05/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us