Organization
SM IMAGING PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO L DIAZ MD (PRESIDENT SMI)
(787) 621-3700
Entity
Organization
Contact information
Practice address
CALLE HERNANDEZ CARRION, URB. ATENAS, MANATI MEDICAL CENTER, MANATI, PR 00974
(787) 621-3700
Mailing address
100 GRAND BOULEVARD PASEO , 112 PMB 412, CALLE ADAMS, SAN JUAN, PR 00926
(787) 414-1250
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
12064
PR
Other
Enumeration date
07/31/2013
Last updated
03/24/2020
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