Healthcare Provider Details
I. General information
NPI: 1497410070
Provider Name (Legal Business Name): RUVI ULTRASOUND INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2021
Last Update Date: 11/08/2021
Certification Date: 10/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
BDA GUAYDIA CALLE B FRANCESCHINI #148
GUAYANILLA PR
00656
US
IV. Provider business mailing address
BDA GUAYDIA CALLE B FRANCESCHINI #148
GUAYANILLA PR
00656
US
V. Phone/Fax
- Phone: 787-371-0292
- Fax:
- Phone: 787-371-0292
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0208X |
| Taxonomy | Mobile Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FERNANDO
L
RIVERA TORRED
Title or Position: CVT
Credential: CVT
Phone: 787-371-0292