Organization
ESCORIAL IMAGING CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACIO R. COLON-ESTEVA MD (PRESIDENT)
(787) 721-5135
Entity
Organization
Contact information
Practice address
1400 PARK SOUTH AVENUE, PARQUE ESCORIAL, ESCORIAL BUILDING ONE, CAROLINA, PR 00987
(787) 721-5135
(787) 725-1790
Mailing address
PO BOX 8990, FERNANDEZ JUNCOS STATION, SAN JUAN, PR 00910-0990
(787) 721-5135
(787) 725-1790
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
163561
PR
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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