Healthcare Provider Details
I. General information
NPI: 1497936868
Provider Name (Legal Business Name): R & R ULTRASOUND CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/14/2007
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CALLE MUNOZ RIVERA 136 SUITE 5
GUAYANILLA PR
00656-4355
US
IV. Provider business mailing address
PO BOX 561915
GUAYANILLA PR
00656-4355
US
V. Phone/Fax
- Phone: 787-348-4956
- Fax: 787-835-1414
- Phone: 787-348-4956
- Fax: 787-835-1414
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 293D00000X |
| Taxonomy | Physiological Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JULIO
TORO
Title or Position: PRESIDENT
Credential:
Phone: 787-348-4956