| Doctor Name: | MR. JOSE LUIS FERREIRA |
| NPI Number: | 1063470920 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RT |
| License Number: | 092842 |
| Business Practice Address: | 18 S Michigan Ave Kenilworth, NJ - 070331708 |
| Business Phone Number: | 9086230121 |
| Business Fax Number: | 8664980867 |
| Mailing Address: | Po Box 2092, UNION |
| State: | NJ |
| Postal Code: | 070832092 |
| Phone Number: | 8889640088 |
| Fax Number: | 8664980867 |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 09/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 092842 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |