Organization
CENTRO RADIOLOGICO DE CAGUAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY C DEVESA MENDEZ MD (OWNER)
(787) 342-9133
Entity
Organization
Contact information
Practice address
CALLE MUNOZ RIVERA, PROFESSIONAL CENTER BUILDING SUITE 208, CAGUAS, PR 00725
(787) 744-4488
Mailing address
87 BIENTEVEO STREET, MONTEHIEDRA, SAN JUAN, PR 00926-9534
(787) 342-9133
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
14763
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588736169
NPI
—
Enumeration date
04/09/2010
Last updated
04/09/2010
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