Organization
PADMA IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA COSTA SOTO (PROPIETARIA)
(787) 486-9898
Entity
Organization
Contact information
Practice address
482 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918-2627
(787) 751-5685
Mailing address
URBANIZACION EL RETIRO, 85 AGRICULTURA, CAGUAS, PUERTO RICO 00725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1317452
LICENCIA CONDUCIR
—
Enumeration date
12/17/2014
Last updated
12/17/2014
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