Organization
CENTRO MEDICO DEL TURABO INC
Active
Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO RADIOLOGIA INVASIVA CAGUAS
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 CAGUAS, AVE LUIS MUNOZ MARIN 100 URB MARIOLGA, CAGUAS, PR 00726-4980
(787) 653-3434
(787) 961-1901
Mailing address
PO BOX 4980, CAGUAS, PR 00726-4980
(787) 653-3434
(787) 961-1901
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13097
MEDICAL LICENSE
PR
01
—
13541
MEDICAL LICENSE
PR
Enumeration date
10/11/2007
Last updated
08/12/2013
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