Organization
VEGA BAJA RADIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADIMIRO DAVILA M.D. (PRESIDENT)
(787) 855-2687
Entity
Organization
Contact information
Practice address
3998 CARR 2, VEGA BAJA, PR 00693-4140
(787) 855-2687
(787) 858-8522
Mailing address
3998 CARR 2, VEGA BAJA, PR 00693-4140
(787) 855-2687
(787) 858-8522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7078
PR
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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