| NPI | 1275045874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO GONZALEZ PONS Owner 787-450-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: PR 18575) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: PR 18575) |
| Enumeration Date | 2017-11-04 |
| Last Update Date | 2018-03-26 |