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General NPI Number Information
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NPI Number | 1467695429
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Entity Type | Organization
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Legal Business Name | ASHFORD RADIOLOGY PSC
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1450 ASHFORD CASA DEL VALLE COMERCIAL A
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City | SAN JUAN
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State | PR
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Zip | 00907-1590
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Country | US
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Telephone | 787-723-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 ASHFORD CASA DEL VALLE COMERCIAL A
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City | SAN JUAN
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State | PR
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Zip | 00907-1590
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Country | US
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Telephone | 787-723-5515
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GASPAR GARCIA
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Credential | M.D.
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Telephone | 787-723-5515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 4559
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License Number State | PR
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