Healthcare Provider Details

I. General information

NPI: 1013831924
Provider Name (Legal Business Name): PRECISION NUCLEAR DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 PASEO DEL PRINCIPE APT 406
PONCE PR
00716-2854
US

IV. Provider business mailing address

PO BOX 22
MERCEDITA PR
00715-0022
US

V. Phone/Fax

Practice location:
  • Phone: 787-298-6856
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN ROBERTO IRIZARRY CRUZ
Title or Position: OWNER
Credential: MD, MS
Phone: 787-432-8880