Healthcare Provider Details

I. General information

NPI: 1114008307
Provider Name (Legal Business Name): IMAGING TECHNOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BETANCES 206 SUITE 3
CAGUAS PR
00725
US

IV. Provider business mailing address

PMB 512 200 AVE RAFAEL CORDERO SUITE 140
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-746-0711
  • Fax:
Mailing address:
  • Phone: 787-746-0711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number68262
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number68262
License Number StatePR

VIII. Authorized Official

Name: MR. RAMON PRIETO
Title or Position: PRESIDENT
Credential:
Phone: 787-746-0711