Organization · Type 2 NPI
Fajardo Imaging Mri CSP
Mammography Clinic/Center · Rio Grande, PR
NPI number
1295896587
Active
Practice location
Ave Agustin Perez Andino B-30, Villas De Rio Grande
Rio Grande, PR 00745
Fax (787) 887-7917
Mailing address
PO Box 490
Puerto Real, PR 00740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mammography Clinic/Center Primary | 261QR0206X | 5767 (PR) |
Mammography Clinic/Center: Definition to come...
About NPI 1295896587
Fajardo Imaging Mri CSP's National Provider Identifier is 1295896587, issued on Dec 12, 2006. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in Rio Grande, PR. The record was last updated on Sep 21, 2011.