Healthcare Provider Details

I. General information

NPI: 1245206770
Provider Name (Legal Business Name): PUERTO RICO NUCLEAR CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE DE DIEGO 123 ESTE
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

CALLE DE DIEGO 123 ESTE
MAYAGUEZ PR
00680
US

V. Phone/Fax

Practice location:
  • Phone: 787-833-1000
  • Fax: 787-832-3625
Mailing address:
  • Phone: 787-833-1000
  • Fax: 787-832-3625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. HECTOR ZAPATA
Title or Position: ADMINISTRADOR
Credential:
Phone: 787-833-1000