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Organization

MEDICAL ANCILLARY DIAGNOSTIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HERIBERTO MORALES (PRESIDENT)
(787) 261-5173
Entity
Organization

Contact information

Practice address
AVE BOULEVARD EE20, LEVITTOWN, TOA BAJA, PR 00949-5900
(787) 261-5173
(787) 261-2953
Mailing address
4633 AVE ISLA VERDE, COND CASTILLO DEL MAR PMB 1409, CAROLINA, PR 00979-5300
(787) 261-5173
(787) 261-2953

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
0087889
PR

Other

Enumeration date
03/19/2007
Last updated
06/18/2008
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