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Organization

MODERN RADIOLOGY,PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAMALIER BERMUDEZ-RUIZ MD (PRESIDENT)
(787) 843-1625
Entity
Organization

Contact information

Practice address
9176 CALLE MARINA, PONCE, PR 00717-1582
(787) 843-1625
(787) 843-1723
Mailing address
PO BOX 7346, PONCE, PR 00732-7346
(787) 841-1949
(787) 812-0565

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
4816
PR

Other

Enumeration date
03/16/2007
Last updated
01/19/2010
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