Organization
ADVANCED BREAST CLINICS
Active
Other names
ADVANCED BREAST CLINICS, IMAGING AND DIAGNOSTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A SANTIAGO MD, FACS (OWNER)
(787) 318-8930
Entity
Organization
Contact information
Practice address
1000 AVE DOS PALMAS, LEVITTOWN, TOA BAJA, PR 00949-4101
(787) 784-5706
Mailing address
PO BOX 633, DORADO, PR 00646-0633
(787) 784-5706
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
13446
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI
1205814761
PR
Enumeration date
05/01/2009
Last updated
05/01/2009
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