Organization
GRP MED CT RADIOLOGY COMPLEX
Active
Parent organization
CT RADIOLOGY COMPLEX LLC
Other names
CT RADIOLOGY COMPLEX LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CT RADIOLOGY COMPLEX LLC
Authorized official
MRS. NORISELLE Z RIVERA POL (FINANCE VP)
(787) 621-3724
Entity
Organization
Contact information
Practice address
1815 CARR. #2, CT RADIOLOGY BULDING, BAYAMON, PR 00959-7279
(787) 780-9069
(787) 780-2121
Mailing address
PO BOX 602727, BAYAMON, PR 00960-6037
(787) 780-9069
(787) 780-2121
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S80101
TRIPLE
PR
Enumeration date
05/16/2007
Last updated
12/28/2020
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