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Organization

PUERTO RICO IMAGING SJ INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS LUGO MEDINA M.D. (PRESIDENT, OWNER)
(787) 629-5280
Entity
Organization

Contact information

Practice address
1 RES JARD CAMPO RICO # 877, COUNTRY CLUB, SAN JUAN, PR 00924-3267
(787) 629-5280
(787) 629-5279
Mailing address
202A CALLE SAN JUSTO, SUITE 314, OLD SAN JUAN, PR 00901-1711
(727) 629-5280
(787) 629-5279

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
12/15/2008
Last updated
07/02/2009
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