Organization Name: | CENTRO RADIOLOGICO CDT DR FERDINANDO MALDONADO |
NPI Number: | 1023221991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FERDINANDO MALDONADO TERRON (MD) |
Mailing Address: | Carr. 129 Km 15.0 Bo.bayaney Hatillo |
State: | PR US |
Postal Code: | 00659 |
Phone Number: | 7878201763 |
Fax Number: | 7878205759 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 07/08/2007 |
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: |