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Organization

FENIX MED, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN MARIE RIVERA (GENERAL MANAGER)
(787) 506-4161
Entity
Organization

Contact information

Practice address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 506-4161
(787) 286-7572
Mailing address
PO BOX 275, BAYAMON, PR 00960-0275
(787) 506-4161
(787) 286-7572

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085R0202X
Diagnostic Radiology Physician
Primary
261Q00000X
Clinic/Center

Other

Enumeration date
02/04/2020
Last updated
01/29/2025
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