Healthcare Provider Details

I. General information

NPI: 1336276724
Provider Name (Legal Business Name): NUCLEAR MAGNETIC RESONANCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 1 KM 23.7
CAGUAS PR
00725-8900
US

IV. Provider business mailing address

PMB 119 HC-01 BOX 29030
CAGUAS PR
00725-8900
US

V. Phone/Fax

Practice location:
  • Phone: 787-731-1515
  • Fax: 787-731-6267
Mailing address:
  • Phone: 787-731-1515
  • Fax: 787-731-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2471C3401X
TaxonomyComputed Tomography Radiologic Technologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JULIO A CALCANO
Title or Position: OWNER
Credential: MD
Phone: 787-731-1515