Organization
CENTRO RADIOLOGICO SHALOM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN FELICIANO NIEVES (ADMINISTRATOR)
(787) 501-5329
Entity
Organization
Contact information
Practice address
CARR 2 KM101.6 BO TERRANVOVA, MARGINAL DEL PARQUE, QUEBRADILLAS, PR 00678-0000
(787) 501-5329
(787) 280-1698
Mailing address
PO BOX 1559, QUEBRADILLAS, PR 00678-1559
(787) 501-5329
(787) 280-1698
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
06-182
PR
Other
Enumeration date
10/15/2010
Last updated
12/30/2016
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