Organization
MODERN RADIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAMALIER BERMUDEZ MD (PRESIDENT)
(787) 804-2122
Entity
Organization
Contact information
Practice address
301 AVE 5 DE DICIEMBRE, SABANA GRANDE, PR 00637-2416
(787) 804-2122
(787) 804-2108
Mailing address
PO BOX 7346, PONCE, PR 00732-7346
(787) 804-2122
(787) 804-2108
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
4816
PR
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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