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Organization

MODERN RADIOLOGY PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAMALIER BERMUDEZ-RUIZ MD (PRESIDENT)
(787) 840-6322
Entity
Organization

Contact information

Practice address
CARR 506 MARGINAL KM 0.75, COTO LAUREL, PR 00780
(787) 840-6322
(787) 259-1117
Mailing address
PO BOX 7346, PONCE, PR 00732-7346
(787) 840-6322
(787) 259-1117

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
4816
PR

Other

Enumeration date
03/11/2010
Last updated
03/11/2010
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