Healthcare Provider Details

I. General information

NPI: 1366773822
Provider Name (Legal Business Name): BILINGUAL RADIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2010
Last Update Date: 01/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 CRYSTAL LAKE BLVD
ROBBINSDALE MN
55422-1548
US

IV. Provider business mailing address

4007 CRYSTAL LAKE BLVD
ROBBINSDALE MN
55422-1548
US

V. Phone/Fax

Practice location:
  • Phone: 612-845-6756
  • Fax:
Mailing address:
  • Phone: 612-845-6756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS ALBERTO RIVERA SR.
Title or Position: DOCTOR
Credential: D.C.
Phone: 612-728-0223