Organization
VASCULAR INTERVENTIONAL DIAGNOSTIC ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEVELLY RODRIGUEZ (ADMINISTRATOR)
(787) 599-2166
Entity
Organization
Contact information
Practice address
GUAYNABO MEDICAL MALL, SUITE 208 B # 140 AVENIDA LAS CUMBRES, GUAYNABO, PR 00966
(787) 705-8675
(787) 705-8676
Mailing address
PO BOX 364164, SAN JUAN, PR 00936-4164
(787) 705-8675
(787) 705-8676
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2013
Last updated
04/18/2013
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