| NPI | 1942939947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORY BALLESTER President 787-925-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-10 |