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General NPI Number Information
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NPI Number | 1053728899
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Entity Type | Organization
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Legal Business Name | NORTHWEST IMAGING CENTER INC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 526 AVE EMERITO ESTRADA RIVERA
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685
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Country | US
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Telephone | 787-896-7777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-0333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINCENZO FERRANTE RUIZ
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Credential |
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Telephone | 787-896-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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