PENUELAS X RAY CSP


Address: Street Munoz Rivera # 907, Penuelas, PR 00624-0000
Phone: 7874861512

PENUELAS X RAY CSP (NPI# 1407181159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407181159
Entity Type Organization
Organization Name PENUELAS X RAY CSP
Practice Address Street Munoz Rivera # 907
Penuelas
PR 00624-0000
Practice Telephone 7874861512
Practice Fax Number 7878411725
Mailing Telephone 7874861512
Mailing Fax Number 7878411725
Enumeration Date 2009-10-14
Last Update Date 2011-03-29
Authorized Official Name RAFAEL A MORA (PRESIDENT)
Authorized Official Telephone 7874861512
Authorized Official Credential RT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
PR Ambulatory Health Care Facilities

Office Location

Street Address STREET MUNOZ RIVERA # 907
City PENUELAS
State PR
Zip Code 00624-0000

Providers in the same zip code

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1952939258 Med Centro, Inc. Clinic/Center Km Hm 6-5 Carr 385 Bo Cuevas, Penuelas, PR 00624 2020-03-31
1851927610 Pedro Jose Rivera Physician Assistant Carretera 132 Km 9.2 Interior Barrio Cotto Quebradas Se, Penuelas, PR 00624 2020-03-12
1750923439 Denise Feliciano Registered Nurse Alturas De Penuelas 1, Calle 8 Casa C-7, Penuelas, PR 00624 2019-10-14
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1073162087 Zuleika Perez Social Worker Barrio Rucio Carretera 391 Km 3.5, Penuelas, PR 00624 2019-09-11
1548724206 Cesar Julian Torres Gutierrez Student in an Organized Health Care Education/Training Program 119 Carr Pr 391, Penuelas, PR 00624 2019-01-28
1063870772 Juana Enid Colon Pharmacist 175 Carr Pr 385, Walgreens 9118, Penuelas, PR 00624 2016-02-09
1063894186 Osvaldo Gotay-ruiz Social Worker 75 Reparto Kennedy, Penuelas, PR 00624 2015-06-25
1104213099 Ajl Dental Clinic/Center 607 Calle Dr Loyola, Penuelas, PR 00624 2015-04-20
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City PENUELAS
Zip Code 00624

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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