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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