Healthcare Provider Details
I. General information
NPI: 1952735664
Provider Name (Legal Business Name): SAN FRANCISCO NUCLEAR IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2013
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
DE DIEGO AVE 126 SEIN MEDICAL PLAZA, SUITE 5,
SAN JUAN PR
00936-1077
US
IV. Provider business mailing address
PO BOX 270316
SAN JUAN PR
00927-0196
US
V. Phone/Fax
- Phone: 787-622-7333
- Fax: 787-622-7332
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICARDO
JAVIER
SEIN
Title or Position: OWNER
Credential: M.D.
Phone: 787-420-5894