Organization
VASCULAR DIAGNOSTIC GROUP CORP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO JIMENEZ (ADMINISTRATOR)
(787) 210-8795
Entity
Organization
Contact information
Practice address
RES VILLA DEL REY # 3, SABOYA A4, CAGUAS, PR 00725-7113
(787) 210-8795
(787) 258-5487
Mailing address
RES VILLA DEL REY # 3, SABOYA A4, CAGUAS, PR 00725-7113
(787) 210-8795
(787) 258-5487
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
PR
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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