Organization
NUCLEAR CARDIOLOGY IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS DEVARIE M.D. (PRESIDENT)
(787) 725-0700
Entity
Organization
Contact information
Practice address
1396 SAN FAFAEL ST, MEDICAL PAVILION SUITE 16, SAN JUAN, PR 00909-2526
(787) 725-0700
(787) 725-5210
Mailing address
1396 SAN FAFAEL ST, MEDICAL PAVILION SUITE 16, SAN JUAN, PR 00909-2526
(787) 725-0700
(787) 725-5210
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5544
PR
207U00000X
Nuclear Medicine Physician
Primary
8643
PR
Other
Enumeration date
03/16/2006
Last updated
01/15/2010
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