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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PEDRO DE-JESUS-BERRIOS (PRESIDENTE)
(787) 200-6970
Entity
Organization

Contact information

Practice address
AVENIDA BORINQUEN NUMERO110, SUITE 3-2, TRUJILLO ALTO, PR 00976
(787) 200-6970
Mailing address
AVENIDA BORINQUEN NUMERO110, SUITE 3-2, TRUJILLO ALTO, PR 00976
(787) 200-6970

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
09-183
PR
247100000X
Radiologic Technologist
2762
PR

Other

Enumeration date
11/29/2007
Last updated
09/30/2010
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