| Organization Name: | X RAY PENUELAS |
| NPI Number: | 1710350921 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AGNES SALGADO (OWNER) |
| Mailing Address: | 907 Calle Munoz Rivera Penuelas |
| State: | PR US |
| Postal Code: | 006241401 |
| Phone Number: | 7878364800 |
| Fax Number: | 7878480318 |
| NPI Enumeration Date: | 11/10/2015 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0206X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mammography |
| Taxonomy Definition: | |