Organization
ULTRASOUND MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO RUIZ M.D. (MANAGING PARTNER)
(787) 725-4284
Entity
Organization
Contact information
Practice address
1394 CALLE SAN RAFAEL, SUITE 10, SAN JUAN, PR 00909-2541
(787) 725-4284
Mailing address
PO BOX 1598, GUAYNABO, PR 00970-1598
(787) 725-4284
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C77717
MEDICARE
PR
Enumeration date
06/15/2011
Last updated
06/15/2011
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