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Organization

DYNAMIC MRI AND 3D CT CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NIDZA CORDOVES (ADMINISTRATOR)
(787) 272-3182
Entity
Organization

Contact information

Practice address
6 CALLE CARAZO, GUAYNABO, PR 00969-5613
(787) 272-0668
(787) 708-2588
Mailing address
PMB 336, 405 AVE ESMERALDA STE 2, GUAYNABO, PR 00969-4457
(787) 272-3182
(787) 708-2588

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
07/17/2009
Last updated
10/13/2011
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