| Organization Name: | PALOMA HEALTHCARE LLC |
| NPI Number: | 1003900838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY RUIZ (BUSINESS MANAGER) |
| Mailing Address: | 864 Central Blvd., Ste 200 Brownsville |
| State: | TX US |
| Postal Code: | 78520 |
| Phone Number: | 9565419797 |
| Fax Number: | 9565419393 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |