Organization
IMAGING DEVELOPMENT CORP
Active
Parent organization
IMAGING DEVELOPMENT CORP AT LOIZA VALLEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMAGING DEVELOPMENT CORP AT LOIZA VALLEY
Authorized official
FERMIN GUERRA CPA (ADMINISTRADOR)
(787) 645-7523
Entity
Organization
Contact information
Practice address
C/42 S.E #1000, REPARTO METROPOLITANO, SAN JUAN, PR 00921
(787) 751-6400
(787) 523-1735
Mailing address
100 GRAND BOULEVARD PASEOS, PMB 439 SUITE 112, SAN JUAN, PR 00926-5902
(787) 751-6400
(787) 523-1735
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
171164
PR
291U00000X
Clinical Medical Laboratory
171164
PR
Other
Enumeration date
10/23/2007
Last updated
06/21/2010
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