Organization
WEST COAST IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO GONZALEZ PONS MD (OWNER)
(787) 450-8590
Entity
Organization
Contact information
Practice address
CALLE HERNANDEZ CARRION, MANATI, PR 00674
(866) 808-5771
Mailing address
141 CALLE EUFRATES, URBANIZACION EL PARAISO, SAN JUAN, PR 00926
(787) 450-8590
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
18575
PR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
18575
PR
Other
Enumeration date
11/04/2017
Last updated
03/26/2018
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