Organization
RADIOLOGIA SAN JORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINGO CRUZ VIVALDI (ADMINISTRADOR)
(787) 727-1000
Entity
Organization
Contact information
Practice address
258 CALLE SAN JORGE, SAN JUAN, PR 00912
(787) 727-1000
Mailing address
PO BOX 6308, LOIZA STATION, SAN JUAN, PR 00912-6307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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