Provider Demographics
NPI:1861709883
Name:SERVICIOS RADIOLOGICOS ASOCIADOS IMAGING CENTER
Entity type:Organization
Organization Name:SERVICIOS RADIOLOGICOS ASOCIADOS IMAGING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIAGNOSTIC RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ BRAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-276-6200
Mailing Address - Street 1:PO BOX 1922
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-1922
Mailing Address - Country:US
Mailing Address - Phone:787-276-6200
Mailing Address - Fax:787-710-7318
Practice Address - Street 1:AVE SANCHEZ OSORIO # A-5
Practice Address - Street 2:VILLA FONTANA SHOPPING CENTER
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-3226
Practice Address - Country:US
Practice Address - Phone:787-276-6200
Practice Address - Fax:787-710-7318
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERVICIOS RADIOLOGICOS ASOCIADOS PEREZ BRAIS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty