Modern Radiology ,psc
NPI #1457674939 in Coto Laurel, Puerto Rico
Provider Information
- NPI Number
- 1457674939
- Entity Type
- Organization
- Organization Name
- Modern Radiology ,psc
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Mar 11, 2010
- Last Updated
- Mar 11, 2010
Practice Location
- Address
- TORRE MEDICA SAN CRISTOBAL 5TA AVE OFICINA 109
- City
- Coto Laurel
- State
- Puerto Rico
- ZIP Code
- 00780
- Phone
- (787) 843-1625
Authorized Official
- Name
- DR. GAMALIER BERMUDEZ-RUIZ, MD
- Title
- PRESIDENT
- Phone
- (787) 843-1625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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