Healthcare Provider Details

I. General information

NPI: 1245210509
Provider Name (Legal Business Name): SOMASCAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOSE MARTI #56 FLORAL PARK
SAN JUAN PR
00917
US

IV. Provider business mailing address

PO BOX 364443
SAN JUAN PR
00936-4443
US

V. Phone/Fax

Practice location:
  • Phone: 787-759-7878
  • Fax: 787-756-8934
Mailing address:
  • Phone: 787-759-7878
  • Fax: 787-756-8934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number StatePR

VIII. Authorized Official

Name: FRANK KOLODZIEJ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-759-7878