Organization
CENTRO MEDICO DEL TURABO INC
Active
Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO RADIOLOGIA INVASIVA
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO BAYAMON, URB SANTA CRUZ SANTA CRUZ 70, BAYAMON, PR 00959
(787) 620-4320
(787) 620-4320
Mailing address
PO BOX 4980, CAGUAS, PR 00726
(787) 653-3434
(787) 961-1901
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13097
MEDICAL LICENSE
PR
01
—
13541
MEDICAL LICENSE
PR
01
—
14049
MEDICAL LICENSE
PR
01
—
14053
MEDICAL LICENSE
PR
Enumeration date
05/10/2007
Last updated
08/12/2013
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