Healthcare Provider Details

I. General information

NPI: 1154514503
Provider Name (Legal Business Name): GLOBAL DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8111 CALLE CONCORDIA 202
PONCE PR
00717-1544
US

IV. Provider business mailing address

8111 CALLE CONCORDIA 202
PONCE PR
00717-1544
US

V. Phone/Fax

Practice location:
  • Phone: 787-771-4770
  • Fax:
Mailing address:
  • Phone: 787-771-4770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ROY RONNEN MYERS
Title or Position: PRESIDENT
Credential:
Phone: 787-758-8018