Organization · NPI-2
Villa Los Santos Clinic, LLC
Radiology, Diagnostic Radiology · Arecibo, PR
NPI number1144930645
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1144930645
- Entity type
- Organization (NPI-2)
- Legal business name
- Villa Los Santos Clinic, LLC
- Organization subpart
- No
- Enumeration date
- Nov 25, 2022
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
| 2085U0001X | Radiology, Diagnostic Ultrasound | – | – |
Practice location
Villa Los SantosCalle 16 V 1
Arecibo, PR 00612
Phone 787-879-1585 · Fax 787-879-4315
Mailing address
Po Box 9091Arecibo, PR 00613-9091
Phone 787-879-1585 · Fax 787-879-4315
Authorized official
Maria J Gonzalez Agraso
Administradora
7878791585
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