Organization
ADVANCE DIGITAL IMAGE, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE I RODRIGUEZ (MANAGER)
(787) 315-9401
Entity
Organization
Contact information
Practice address
CARRETARA # 111, INTERSECCION CARR 125 SEARS SHOPING CENTER, SAN SEBASTIAN, PR 00685
(787) 315-9401
Mailing address
PO BOX 626, SAN SEBASTIAN, PR 00685-0626
(787) 315-9401
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
06171
PR
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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