Organization · NPI-2

Centro Neurodiagnostico, INC.

Physiological Laboratory · San Juan, PR

NPI number1093041444
StatusActive
Last updated in NPPESOct 20, 2009

Details

NPI
1093041444
Entity type
Organization (NPI-2)
Legal business name
Centro Neurodiagnostico, INC.
Organization subpart
No
Enumeration date
Oct 20, 2009
Last updated
Oct 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory4731PRYes

Practice location

A2 Calle Lodi
Villa Luarca
San Juan, PR 00924-3804

Phone 787-751-5955 · Fax 787-767-0516

Mailing address

A2 Calle Lodi
Villa Luarca
San Juan, PR 00924-3804

Phone 787-751-5955 · Fax 787-767-0516

Authorized official

Norma E Agosto
President
7877515955

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