Healthcare Provider Details

I. General information

NPI: 1477595833
Provider Name (Legal Business Name): SONOCARDIO IMAGING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 AVE RAFAEL HERNANDEZ MARIN CENTRO COMERCIAL MONTE CARLO
SAN JUAN PR
00924-5281
US

IV. Provider business mailing address

PO BOX 367588
SAN JUAN PR
00936-5588
US

V. Phone/Fax

Practice location:
  • Phone: 787-769-9527
  • Fax: 787-769-9527
Mailing address:
  • Phone: 787-769-9527
  • Fax: 787-769-9527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number71577
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number71577
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. ZULMA E TORRES
Title or Position: DIRECTOR
Credential: RVT,RDMS
Phone: 787-769-9527