Modern Radiology, Psc
LBN: Modern Radiology, Psc
Modern Radiology, Psc is an health care organization with primary practice located at 300 Ave Felisa Rincon 72 Vistas Shopping Village, San Juan PR 00926-6088. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty.
Modern Radiology, Psc can be contacted via phone (787) 709-4337, or through Bermudez Ruiz, Gamalier via phone (787) 848-8834.
Contact Information
Primary practice address
300 Ave Felisa Rincon 72 Vistas Shopping Village
San Juan PR 00926-6088
Phone: (787) 709-4337
Fax:
Website:
Authorized official contact:
Name: Bermudez Ruiz, Gamalier Doctor of Medicine (MD)
Phone: (787) 848-8834
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | RX4816 | Puerto Rico |
Profile Details
| NPI number | 1750645107 |
|---|---|
| LBN Legal business name | Modern Radiology, Psc |
| DBA Doing business as | |
| Authorized official | Bermudez Ruiz, Gamalier Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2012 |
| Last updated | Jun 30th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750645107 | NPPES |
| Puerto Rico | Other | RX4816 | PROVIDER LICENSE NUMBER |
| Puerto Rico | Other | 1306804752 | PROVIDER LICENSE NUMBER |
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