Organization · Type 2 NPI
Vascular Interventional Diagnostic Associates PSC
Radiology Clinic/Center · Guaynabo, PR
NPI number
1578801247
Active
Practice location
Guaynabo Medical Mall, Suite 208 B # 140 Avenida Las Cumbres
Guaynabo, PR 00966
Fax (787) 705-8676
Mailing address
PO Box 364164
San Juan, PR 00936-4164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
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About NPI 1578801247
Vascular Interventional Diagnostic Associates PSC's National Provider Identifier is 1578801247, issued on Jan 30, 2013. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Guaynabo, PR. The record was last updated on Apr 18, 2013.