Organization
PENUELAS X RAY CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL A MORA RT (PRESIDENT)
(787) 486-1512
Entity
Organization
Contact information
Practice address
STREET MUNOZ RIVERA # 907, PENUELAS, PR 00624-0000
(787) 486-1512
(787) 841-1725
Mailing address
STREET MUNOZ RIVERA # 907, PENUELAS, PR 00624-0000
(787) 486-1512
(787) 841-1725
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
PR
Other
Enumeration date
10/14/2009
Last updated
03/29/2011
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