Healthcare Provider Details

I. General information

NPI: 1598463622
Provider Name (Legal Business Name): MRI EXPRESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 AVE FERNANDEZ JUNCOS STE 101
SAN JUAN PR
00909-2761
US

IV. Provider business mailing address

1501 AVE FERNANDEZ JUNCOS STE 101
SAN JUAN PR
00909-2761
US

V. Phone/Fax

Practice location:
  • Phone: 787-296-8880
  • Fax:
Mailing address:
  • Phone: 787-296-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN CINTRON
Title or Position: SECRETARY
Credential:
Phone: 303-669-8907