Organization
RIO GRANDE DIAGNOSTIC CSP
Active
Other names
Rio Grande Diagnostic CSP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL AYRA (PRESIDENT)
(787) 247-1693
Entity
Organization
Contact information
Practice address
CALLE PRINCIPAL # 57 BO PALMER, RIO GRANDE, PR 00745
(787) 887-0555
(787) 887-0111
Mailing address
BOX 82 BO. PALMER, RIO GRANDE DIAGNOSTIC, PR 00721
(787) 887-0555
(787) 887-0111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/12/2006
Last updated
08/22/2020
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