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General NPI Number Information
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NPI Number | 1861709883
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Entity Type | Organization
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Legal Business Name | SERVICIOS RADIOLOGICOS ASOCIADOS IMAGING CENTER
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | AVE SANCHEZ OSORIO # A-5 VILLA FONTANA SHOPPING CENTER
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City | CAROLINA
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State | PR
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Zip | 00983-3226
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Country | US
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Telephone | 787-276-6200
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Fax | 787-710-7318
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Provider Business Mailing Address
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Address Line | PO BOX 1922
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City | CAROLINA
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State | PR
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Zip | 00984-1922
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Country | US
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Telephone | 787-276-6200
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Fax | 787-710-7318
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Authorized Official
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Title or Position | DIAGNOSTIC RADIOLOGIST
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Name | DR. JORGE PEREZ BRAS
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Credential | M.D
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Telephone | 787-276-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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