Healthcare Provider Details

I. General information

NPI: 1932940145
Provider Name (Legal Business Name): SONO HOPE PR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VILLA CAROLINA SEGUNDA SECCION CALLE 11 BLOQUE 33 #2
CAROLINA PR
00985
US

IV. Provider business mailing address

CALLE NARCISO F 11 CALLE NARCISO F 11
JUNCOS PR
00777
US

V. Phone/Fax

Practice location:
  • Phone: 787-470-4311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA GALARZA CRESPO
Title or Position: VICE PRESIDENT
Credential: RT(MR) RDMS RVT
Phone: 904-432-5365