Organization
PR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO A LOPEZ DIAZ MD (PRESIDENT)
(787) 668-2362
Entity
Organization
Contact information
Practice address
CARR 2 KM 11.7, BAYAMON MEDICAL CENTER, BAYAMON, PR 00959
(787) 620-8181
Mailing address
PO BOX 8804, PONCE, PR 00732-8804
(787) 620-6181
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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