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General NPI Number Information
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NPI Number | 1558771535
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Entity Type | Organization
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Legal Business Name | RADIOLOGOS DEL SUR, LLC
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 8169 CALLE CONCORDIA COND. SAN VICENTE SUITE 1
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City | PONCE
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State | PR
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Zip | 00717-1554
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Country | US
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Telephone | 787-844-8510
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Fax | 787-813-2779
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Provider Business Mailing Address
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Address Line | 8169 CALLE CONCORDIA COND. SAN VICENTE SUITE 1
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City | PONCE
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State | PR
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Zip | 00717-1554
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Country | US
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Telephone | 787-844-8510
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Fax | 787-813-2779
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | DR. JORGE LUIS TORRES
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Credential | M.D.
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Telephone | 787-844-8510
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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 | 9822
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License Number State | PR
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