Organization
CANOVANAS X RAY
Active
Parent organization
66-0841749
Other names
Canovanas medical center
Organization subpart
Yes
Provider details
NPI number
Legal business name
66-0841749
Authorized official
GREGMARIE LOPEZ MARTINEZ (ADMINITRADORA)
(939) 274-9637
Entity
Organization
Contact information
Practice address
AVE CORCHADO FINAL, CANOVANAS, PR 00729-0000
(787) 876-5000
Mailing address
PO BOX 2003, CANOVANAS, PR 00729-2003
(787) 876-5000
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OG682
—
PR
Enumeration date
12/05/2022
Last updated
03/09/2023
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