Healthcare Provider Details

I. General information

NPI: 1053307736
Provider Name (Legal Business Name): CENTRO SONONUCLEAR DE RIO PIEDRAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 CALLE LOS ANGELES URB DEL CARMEN
SAN JUAN PR
00923-2646
US

IV. Provider business mailing address

PO BOX 260097
SAN JUAN PR
00926-2617
US

V. Phone/Fax

Practice location:
  • Phone: 787-764-2355
  • Fax: 787-763-1714
Mailing address:
  • Phone: 787-764-2355
  • Fax: 787-763-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License Number
License Number State

VIII. Authorized Official

Name: JORGE R TORO
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 787-764-2355