Healthcare Provider Details
I. General information
NPI: 1457623183
Provider Name (Legal Business Name): INQUEST RADIOLOGY PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2012
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BO SAN DANIEL KM 80.1 ARECIBO MEDICAL CENTER SUITE 1
ARECIBO PR
00612
US
IV. Provider business mailing address
PO BOX 140339
ARECIBO PR
00614-0339
US
V. Phone/Fax
- Phone: 787-878-3000
- Fax: 787-878-8106
- Phone: 787-878-3000
- Fax: 787-878-8106
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2471M1202X |
| Taxonomy | Magnetic Resonance Imaging Radiologic Technologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCISCO
JAVIER
ARRAIZA-ANTONMATTEI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-878-3000