Organization
CENTRO RADIOLOGICO SONOGRAFICO DIGITAL DE COROZAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN L ORTIZ M.D. (PRESIDENTE)
(787) 802-1212
Entity
Organization
Contact information
Practice address
14 CALLE GANDARA, COROZAL, PR 00783
(787) 802-1212
(787) 859-4410
Mailing address
14 GANDARA, COROZAL, PR 00783
(787) 802-1212
(787) 859-4410
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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