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Organization

VA RADIOLOGY SERVICES, P.S.C.

Active
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Organization

VA RADIOLOGY SERVICES, P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PEDRO E DIAZ ORTIZ M.D. (PRESIDENT)
(787) 785-8034
Entity
Organization

Contact information

Practice address
GALLARDO TOWERS # 201, BAYAMON, PR 00961-6329
(787) 785-8034
(787) 787-8029
Mailing address
35 JUAN CARLOS BORBON PMB 383, SUITE 67, GUAYNABO, PR 00969-5375
(787) 785-8034
(787) 787-8029

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
2085N0700X
Neuroradiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Enumeration date
09/20/2010
Last updated
09/20/2010
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