Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO RADIOLOGIA BAYAMON
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO BAYAMON, URB SANTA CRUZ 70 SANTA CRUZ, BAYAMON, PR 00959
(787) 620-4307
(787) 620-4320
Mailing address
PO BOX 4980, CAGUAS, PR 00726
(787) 653-3434
(787) 961-1901
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11828
MEDICAL LICENSE
PR
01
—
13018
MEDICAL LICENSE
PR
01
—
14743
MEDICAL LICENSE
PR
01
—
15323
MEDICAL LICENSE
PR
01
—
15893
MEDICAL LICENSE
PR
01
—
9253
MEDICAL LICENSE
PR
Enumeration date
05/08/2007
Last updated
08/09/2013
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