Organization
CENTRO RADIOLOGICO BAGUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA M ROMAN (FACTURADORA)
(787) 817-0494
Entity
Organization
Contact information
Practice address
CARR 681 # KM4.4, SECTOR PIQUINA BO ISLOTE, ARECIBO, PR 00612-5313
(787) 817-0494
(787) 817-0494
Mailing address
PO BOX 141348, ARECIBO, PR 00614-1348
(787) 817-0494
(787) 817-0494
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
292824
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292824
REGISTRO
PR
Enumeration date
07/19/2012
Last updated
07/19/2012
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