Organization
MGE RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL GABRIEL ECHEVARRIA QUINTANA MD (PHYSICIAN)
(787) 505-4136
Entity
Organization
Contact information
Practice address
107 CALLE COMERCIO, JUANA DIAZ, PR 00795-1646
(787) 837-3285
Mailing address
48 AVE MUNOZ RIVERA APT 2807, SAN JUAN, PR 00918-1661
(787) 505-4136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174839179
—
PR
Enumeration date
02/03/2021
Last updated
02/03/2021
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