Organization
MMD BREAST IMAGING PSC
Active
Other names
VIDA IMAGING & BREAST CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA MALDONADO MD (PRESIDENT)
(787) 630-3116
Entity
Organization
Contact information
Practice address
SANTA CRUZ MEDICAL BUILDING, SUITE 108, #73 SANTA CRUZ STREET, BAYAMON, PR 00961
(787) 785-8110
Mailing address
PASEO SAN JUAN G23, CALLE ADOQUINES, SAN JUAN, PR 00926-6520
(787) 630-3116
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/09/2022
Last updated
04/09/2025
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