Organization
BM RADIOLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH BADILLO CECILIA MD (PRESIDENT)
(787) 643-9929
Entity
Organization
Contact information
Practice address
URB MONTEHIEDRA, 87 BIENTEVEO, SAN JUAN, PR 00926
(787) 643-9929
Mailing address
URB MONTEHIEDRA, 87 BIENTEVEO, SAN JUAN, PR 00926
(787) 643-9929
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
17837
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4158875
PR LICENCE
PR
Enumeration date
09/04/2018
Last updated
09/04/2018
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