Organization
VEGA ALTA X RAY
Active
Parent organization
CARIBBEAN ROENTGEN GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARIBBEAN ROENTGEN GROUP, INC.
Authorized official
ASTRID DAVILA DIAZ (ADMINISTRADORA)
(787) 733-5588
Entity
Organization
Contact information
Practice address
URB. SANTA RITA, H48 INTERIOR, VEGA ALTA, PR 00692
(787) 883-1430
(787) 733-5588
Mailing address
PO BOX 1043, LAS PIEDRAS, PR 00771
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
12/11/2019
Last updated
12/19/2019
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