1689747149 NPI number — RADIOLOGOS ASOCIADOS DEL SUR

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689747149 NPI number — RADIOLOGOS ASOCIADOS DEL SUR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RADIOLOGOS ASOCIADOS DEL SUR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689747149
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 3300383
Provider Second Line Business Mailing Address:
ATOCHA STATION
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00733-0383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-842-3073
Provider Business Mailing Address Fax Number:
787-844-8510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8169 CALLE CONCORDIA
Provider Second Line Business Practice Location Address:
EDIFICIO SAN VICENTE SUITE 1
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717-1554
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-842-3073
Provider Business Practice Location Address Fax Number:
787-844-8510
Provider Enumeration Date:
11/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
JORGE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-842-3073

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  9822 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)