Organization
FAJARDO IMAGING MRI CSP
Active
Other names
FAJARDO IMAGING MRI CSP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA FERNADEZ GARCIA M.D. (RADIOLOGIST)
(787) 860-3400
Entity
Organization
Contact information
Practice address
AVE AGUSTIN PEREZ ANDINO B-30, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 887-5944
(787) 887-7917
Mailing address
PO BOX 490, PUERTO REAL, PR 00740
(787) 860-3400
(787) 863-2075
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
5767
PR
Other
Enumeration date
12/12/2006
Last updated
09/21/2011
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