Healthcare Provider Details

I. General information

NPI: 1861918617
Provider Name (Legal Business Name): RADMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CALLE A
SAN JUAN PR
00926-5108
US

IV. Provider business mailing address

PO BOX 29460
SAN JUAN PR
00929-0460
US

V. Phone/Fax

Practice location:
  • Phone: 787-740-3010
  • Fax:
Mailing address:
  • Phone: 787-464-2297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IVAN E RAMIREZ HERNANDEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-464-2297