Organization
RADIOLOGY IMAGING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB RUBEN RIVERA (MD)
(352) 671-4221
Entity
Organization
Contact information
Practice address
101 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5777
(904) 819-4707
Mailing address
PO BOX 21643, TAMPA, FL 33622-1643
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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