Organization
BAYAMON SMH CORPORATION
Active
Other names
Hato Rey X Ray & Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE M MARIN M.D. (PRESIDENT)
(787) 754-1422
Entity
Organization
Contact information
Practice address
156 AVE FD ROOSEVELT, SAN JUAN, PR 00918-2406
(787) 754-1422
(787) 754-8555
Mailing address
1353 AVE. LUIS VIGOREAUX, PMB 647, GUAYNABO, PR 00966-2715
(787) 754-1422
(787) 754-8555
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
PR
261QR0200X
Radiology Clinic/Center
Primary
—
PR
261QR0206X
Mammography Clinic/Center
—
PR
305R00000X
Preferred Provider Organization
—
—
Other
Enumeration date
07/08/2005
Last updated
10/24/2018
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