Healthcare Provider Details

I. General information

NPI: 1912298886
Provider Name (Legal Business Name): SONO-IMAGING HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 CALLE BARCELO
CIDRA PR
00739-3444
US

IV. Provider business mailing address

34 CALLE BARCELO
CIDRA PR
00739-3444
US

V. Phone/Fax

Practice location:
  • Phone: 787-318-4409
  • Fax:
Mailing address:
  • Phone: 787-318-4409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASDRIEL MENDEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-318-4409