Organization
MILLENIUM OPEN MRI AND IMAGING CENTER II PSC
Active
Organization
MILLENIUM OPEN MRI AND IMAGING CENTER II PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIEZER CRESPO (VICE PRESIDENT)
(787) 409-0931
Entity
Organization
Contact information
Practice address
1501 AVE FERNANDEZ JUNCOS ESQ PAVIA SUITE 101, SAN JUAN, PR 00910
(787) 426-5677
Mailing address
PO BOX 16257, SAN JUAN, PR 00908-6257
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11391
PR
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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