| Organization Name: | J K RADIOLOGY GROUP INC |
| NPI Number: | 1013170703 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE J. SANTIAGO VEGA (PRESIDENT) |
| Mailing Address: | Ave 181 Km 2.1 Trujillo Medical Suite 202 Y 203 Trujillo Alto |
| State: | PR US |
| Postal Code: | 00976 |
| Phone Number: | 7877482840 |
| Fax Number: | 7877482840 |
| NPI Enumeration Date: | 07/03/2008 |
| NPI Last Update Date: | 08/14/2008 |
| 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: | |