Organization
VEGA BAJA IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ROSSELLO CAMACHO (PRESIDENTE)
(787) 966-3882
Entity
Organization
Contact information
Practice address
3998 CARR 2, VEGA BAJA, PR 00693-4140
(787) 855-2687
(787) 858-8299
Mailing address
3998 CARR 2, VEGA BAJA, PR 00693-4140
(787) 855-2687
(787) 858-8299
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
07/13/2006
Last updated
09/09/2022
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