Healthcare Provider Details

I. General information

NPI: 1306270822
Provider Name (Legal Business Name): TOTAL IMAGING, PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 09/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1357 AVE ASHFORD PMB 409
SAN JUAN PR
00907-1400
US

IV. Provider business mailing address

1357 AVE ASHFORD PMB 409
SAN JUAN PR
00907-1400
US

V. Phone/Fax

Practice location:
  • Phone: 787-787-5151
  • Fax: 787-286-7572
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0206X
TaxonomyMammography Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA PILAR SALGADO
Title or Position: FACTURACION
Credential:
Phone: 78728675752