Organization
INNOVATIVE MEDICAL AND RADIOLOGY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS DEL RIO ROURE M.D. (PRESIDENT)
(787) 730-1166
Entity
Organization
Contact information
Practice address
CARR. 165 KM 8.1, TOA ALTA, PR 00953
(787) 730-1166
Mailing address
162 CALLE BEGONIA, CIUDAD JARDIN 2, TOA ALTA, PR 00953-4855
(787) 730-1166
(787) 746-1425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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