Organization
CENTRO RADIOLOGICO DR. ENRIQUE KOPPISH
Active
Parent organization
CDT DR. ENRIQUE KOPPISH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDT DR. ENRIQUE KOPPISH
Authorized official
MARITZA VEGA DE JESUS MBH HCM (EXECUTIVE SUB DIRECTOR)
(787) 480-3841
Entity
Organization
Contact information
Practice address
AVE BARBOSA #404 ESQ SICILIA, SAN JUAN, PR 00923
(787) 480-3841
(787) 977-0544
Mailing address
AVE BARBOSA #404 ESQ SICILIA, SAN JUAN, PR 00923
(787) 480-3841
(787) 977-0544
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
5
PR
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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