Organization
CENTRO IMAGEN
Active
Parent organization
ANGELORUM, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELORUM, INC
Authorized official
DR. LUIS M. GONZALEZ MD (PRESIDENT)
(787) 270-4747
Entity
Organization
Contact information
Practice address
CARR 693 SUITE 172, BO BRENAS, VEGA ALTA, PR 00692
(787) 270-4747
(787) 270-4747
Mailing address
PO BOX 356, VEGA ALTA, PR 00692-0356
(787) 270-4747
(787) 270-4747
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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