Organization
CENTRO RADIOLOGICO DE LA MONTANA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO VAZQUEZ M.D. (PRESIDENT)
(787) 630-2603
Entity
Organization
Contact information
Practice address
HC 72 BOX 3951, NARANJITO, PR 00719-8771
(787) 869-2687
(787) 869-0536
Mailing address
803 CARR KM 10.1, BO CEDRO ARRIBA, NARANJITO, PR 00719-9720
(787) 869-2687
(787) 869-0536
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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