Organization
MODERN RADIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMALIER BERMUDEZ-RUIZ MD (PRESIDENT)
(787) 856-4262
Entity
Organization
Contact information
Practice address
CALLE 25 DE JULIO # 72, YAUCO, PR 00698-3604
(787) 856-4262
(787) 267-3120
Mailing address
PO BOX 7346, PONCE, PR 00732-7346
(787) 856-4262
(787) 267-3120
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
4816
PR
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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