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Organization

RADIOLOGIA SAN JORGE

Active
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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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