| Organization Name: | JK RADIOLOGY SERVICES, CSP |
| NPI Number: | 1063650893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEANNINE M. BADILLO (PRESIDENT) |
| Mailing Address: | Trujillo Medical Building Suite 202-203 Expreso Trujillo Alto Km. 2.1 Trujillo Alto |
| State: | PR US |
| Postal Code: | 00976 |
| Phone Number: | 7872934641 |
| Fax Number: | 7877482840 |
| NPI Enumeration Date: | 02/02/2009 |
| NPI Last Update Date: | 02/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | 12086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |