Organization
CT RADIOLOGY COMPLEX, LLC
Active
Organization
CT RADIOLOGY COMPLEX, LLC
Active
Other names
CT RADIOLOGY COMPLEX, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORISELLE Z. RIVERA - POL (FINANCE VP)
(787) 621-3724
Entity
Organization
Contact information
Practice address
1815 RD 2, CT RADIOLOGY BUILDING, BAYAMON, PR 00959-7279
(787) 780-9069
(787) 780-2121
Mailing address
PO BOX 602727, BAYAMON, PR 00960-6037
(787) 780-9069
(787) 625-2626
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
PR
207U00000X
Nuclear Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
2471M2300X
Mammography Radiologic Technologist
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080100
MEDICARE
PR
Enumeration date
09/16/2005
Last updated
09/04/2020
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