Organization Name: | JESUS ROMERO PEREZ |
NPI Number: | 1083938625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CINDY GINES (ADMINISTRATIVE PRES) |
Mailing Address: | 87 Calle Carbonell Cabo Rojo |
State: | PR US |
Postal Code: | 006233443 |
Phone Number: | 7872550680 |
Fax Number: | 7872550666 |
NPI Enumeration Date: | 03/25/2010 |
NPI Last Update Date: | 08/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | 11722 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |