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General NPI Number Information
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NPI Number | 1932770757
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Entity Type | Organization
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Legal Business Name | RAD DIAGNOSTICS, P.S.C.
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | PROFESSIONAL CENTER BUILDING SUITE 208-209 CALLE MUNOZ RIVERA
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City | CAGUAS
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State | PR
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Zip | 00725-0001
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Country | US
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Telephone | 787-641-4488
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Fax | 787-641-4492
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Provider Business Mailing Address
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Address Line | PO BOX 360178
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City | SAN JUAN
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State | PR
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Zip | 00936-0178
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Country | US
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Telephone | 787-641-4488
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Fax | 787-641-4492
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | DR. ZORAIDA E ESTELA JOVE
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Credential | MD
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Telephone | 787-641-4488
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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 | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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