Organization
CENTRO RADIOLOGICO LUQUILLO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONIA V JIMENCI RESA RT (PROPIETARIA)
(787) 889-2483
Entity
Organization
Contact information
Practice address
CARR. 193 KM 1 LOCAL 5, PLAYA AZUL CENTER, LUQUILLO, PR 00773
(787) 889-2483
(787) 889-0432
Mailing address
PMB SUITE 418, CALL BOX 20,000, CANOVANAS, PR 00729
(787) 889-2483
(787) 889-0432
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051954
CRUZ AZUL
PR
Enumeration date
08/15/2006
Last updated
08/22/2020
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