Healthcare Provider Details

I. General information

NPI: 1992156095
Provider Name (Legal Business Name): JASON SAVINON R.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 N PIEDRAS ST
EL PASO TX
79930-4210
US

IV. Provider business mailing address

7010 NW 186TH ST APT. 108
HIALEAH FL
33015-3104
US

V. Phone/Fax

Practice location:
  • Phone: 915-564-6100
  • Fax:
Mailing address:
  • Phone: 786-231-9209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberCRT 68826
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: