Healthcare Provider Details

I. General information

NPI: 1932223237
Provider Name (Legal Business Name): SONO X RAY RADIOLOGY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 12/16/2022
Certification Date: 12/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 AVE LUIS MUNOZ MARIN SUITES 207-209, 107-108, 103-104, 106
CAGUAS PR
00725-3975
US

IV. Provider business mailing address

PO BOX 1778
CAGUAS PR
00726-1778
US

V. Phone/Fax

Practice location:
  • Phone: 787-746-1610
  • Fax: 787-703-0010
Mailing address:
  • Phone: 787-746-1688
  • Fax: 787-746-2292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number8402
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number8236
License Number StatePR

VIII. Authorized Official

Name: DR. FRANCISCO LOUBRIEL-MENDEZ
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 787-746-1688