Organization
PUERTO RICO PRIMARY CARE MSO, INC. - RADIOLOGIA
Active
Parent organization
PUERTO RICO PRIMARY CARE MSO, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUERTO RICO PRIMARY CARE MSO, INC.
Authorized official
KEILA CENTENO (ADMINISTRATOR)
(787) 534-3789
Entity
Organization
Contact information
Practice address
CALLE 14 DE JULIO NO 159, BO MATA DE PLATANO, LUQUILLO, PR 00773
(787) 885-4446
(787) 885-6129
Mailing address
PO BOX 818, CEIBA, PR 00735-0818
(787) 534-3789
(787) 885-2525
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/24/2022
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