Organization
CENTRO RADIOLOGICO ROLON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CESAR A DEL VALLE BUGUE (OWNER)
(787) 879-0750
Entity
Organization
Contact information
Practice address
HC 5 BOX 93652, BARRIO HATO ARRIBA, ARECIBO, PR 00612-9610
(787) 879-0750
(787) 879-0772
Mailing address
PO BOX 142292, ARECIBO, PR 00614-2292
(787) 879-0750
(787) 879-0772
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084911
MEDICARE ID
PR
Enumeration date
11/03/2005
Last updated
07/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us