Organization Name: | RAD ONE, PSC |
NPI Number: | 1073684817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCISCO GOMEZ (PRESIDENT) |
Mailing Address: | 369 Torre San Francisco Ave Jose De Diego Suite 505 Rio Piedras |
State: | PR US |
Postal Code: | 00923 |
Phone Number: | 7872500832 |
Fax Number: | 7872500834 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0206X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mammography |
Taxonomy Definition: |