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Organization

CIDRA MEDIGROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAFAEL RIVERA (VICE-PRESIDENT)
(787) 739-4472
Entity
Organization

Contact information

Practice address
CALLE BALDORIOTY NO. 18, CIDRA, PR 00739
(787) 739-4472
Mailing address
PO BOX 1904, CIDRA, PR 00739-1904
(787) 739-4472

Taxonomy

Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84834
TRIPLE S PROVIDER NUMBER
PR
Enumeration date
06/13/2007
Last updated
08/22/2020
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