Healthcare Provider Details

I. General information

NPI: 1760390462
Provider Name (Legal Business Name): RADXOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 CALLE MENDEZ VIGO STE 206-207
DORADO PR
00646-4800
US

IV. Provider business mailing address

PO BOX 655
DORADO PR
00646-0655
US

V. Phone/Fax

Practice location:
  • Phone: 787-630-2601
  • Fax:
Mailing address:
  • Phone: 787-630-2601
  • Fax:

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 Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YARELIS M VAZQUEZ PEREZ
Title or Position: DR
Credential: MD
Phone: 787-630-2601