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Organization

INSTITUTO MEDICO DEL NORTE INC

Active
Parent organization
INSTITUTO MEDICO DEL NORTE INC
Other names
Wilma N Vazquez Imaging San Juan
Organization subpart
Yes

Provider details

NPI number
Legal business name
INSTITUTO MEDICO DEL NORTE INC
Authorized official
MR. ENRIQUE MEDEROS MHSA (EXECUTIVE VP)
(939) 940-8572
Entity
Organization

Contact information

Practice address
REPARTO METROPOLITANO SHOPPING CENTER, SUITE 26A, SAN JUAN, PR 00921
(787) 858-1580
Mailing address
PO BOX 7001, VEGA BAJA, PR 00694-7001
(787) 858-1580

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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