Healthcare Provider Details

I. General information

NPI: 1932088838
Provider Name (Legal Business Name): CENTRO MEDICO DIAGNOSTICO MUNOZ RIVERA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB MUNOZ RIVERA 59 AVE ESMERALDA
GUAYNABO PR
00969
US

IV. Provider business mailing address

URB MUNOZ RIVERA 59 AVE ESMERALDA
GUAYNABO PR
00969
US

V. Phone/Fax

Practice location:
  • Phone: 787-720-3255
  • Fax:
Mailing address:
  • Phone: 787-720-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JORGE SIGFRIDO MELENDEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-720-3234