Organization · NPI-2
Advanced Breast Clinics
Clinic/Center, Radiology, Mammography · Toa Baja, PR
NPI number1679707806
StatusActive
Last updated in NPPESMay 1, 2009
Details
- NPI
- 1679707806
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Breast Clinics
- Organization subpart
- No
- Enumeration date
- May 1, 2009
- Last updated
- May 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0206X | Clinic/Center, Radiology, Mammography | 13446 | PR | Yes |
Other names
- Advanced Breast Clinics, Imaging And Diagnostic Center (Other Name)
Practice location
1000 Ave Dos PalmasLevittown
Toa Baja, PR 00949-4101
Phone 787-784-5706
Mailing address
Po Box 633Dorado, PR 00646-0633
Phone 787-784-5706
Authorized official
Carlos A Santiago
Owner
7873188930
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