Organization
ISLAND RADIOLOGY GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRO DIAZ ORTIZ MD (PRESIDENT)
(787) 785-8034
Entity
Organization
Contact information
Practice address
101 CONDOMINIO GALLARDO TOWERS OFI, BAYAMON, PR 00961-6329
(787) 785-8034
(787) 787-8029
Mailing address
PO BOX 3049, BAYAMON, PR 00960-3049
(787) 785-8034
(787) 787-8029
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
05/16/2017
Last updated
07/21/2022
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