Organization
IMI OF SAN JUAN
Active
Other names
SAN JUAN MRI & CT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NIVIA SOUFFRONT (CENTER DIRECTOR)
(787) 721-7776
Entity
Organization
Contact information
Practice address
1448 AVE FERNANDEZ JUNCOS, SANTURCE, PR 00909-2655
(787) 721-7776
(787) 721-7774
Mailing address
1448 AVE FERNANDEZ JUNCOS, SANTURCE, PR 00909-2655
(787) 721-7776
(787) 721-7774
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99-284
DEPAT OF HEALTH
PR
Enumeration date
03/31/2010
Last updated
03/31/2010
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