| NPI | 1225802606 |
|---|---|
| Other Name | WILMA N VAZQUEZ IMAGING SAN JUAN |
| Entity Type | Organization |
| Authorized Contact | ENRIQUE MEDEROS Executive VP 939-940-8572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |