MEDICARE: CENTRO DIAGNOSTICO Y TRATAMIENTO DE RIO GRANDE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	962	PR

General Provider Information

NPI Number	:	1033393921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO DIAGNOSTICO Y TRATAMIENTO DE RIO GRANDE

Provider Business Mailing Address
First Line	:	PO BOX 847
Second Line	:
City	:	RIO GRANDE
State	:	PR
Zip	:	00745-0847
Country	:	US
Telephone Number	:	787-809-1010
Fax Number	:	787-888-1832

Provider Business Practice Location Address
First Line	:	CALLE MANUEL PIMENTEL Y CASTRO 200
Second Line	:	PUEBLO
City	:	RIO GRANDE
State	:	PR
Zip	:	00745-0000
Country	:	US
Telephone Number	:	787-809-1010
Fax Number	:	787-888-1832

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LUIS LEBRON
Credential	:
Telephone Number	:	787-809-1010

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	12/27/2007

Similar Medicare Providers

1255314746 — DR. CARMEN LOPEZ M.D
Practice Location Address:

L1 CALLE 4 , VILLAS DE RIO GRANDE
RIO GRANDE, PR
00745-0000

Practice Phone: 787-888-7336
Practice Fax: 787-887-4045

1447226238 — CENTRO DE MEDICINA FISICA Y REHABILITACION RIO GRANDE,INC
Practice Location Address:

B18 CALLE GARCIA DE LA NOCEDA , VILLAS DE RIO GRANDE
RIO GRANDE, PR
00745-0000

Practice Phone: 787-887-2555
Practice Fax: 787-657-5600

1407823651 — VILMANIA G. MAMBRU TAVAREZ PSY D
Practice Location Address:

URB ALTURAS DE RIO GRANDE , AA5 CALLE C
RIO GRANDE, PR
00745-0000

Practice Phone: 787-887-5900
Practice Fax:

1134138001 — ISAMARIS ORTIZ FUENTES DPT
Practice Location Address:

CALLE GARCIA DE LA NOCEDA B18 , VILLAS DE RIO GRANDE
RIO GRANDE, PR
00745-0000

Practice Phone: 787-887-2555
Practice Fax: 787-657-5600

1609916691 — DR. FRANCISCO P LEAL M.D.
Practice Location Address:

C1 AVE AGUSTIN PEREZ ANDINO , URB VILLAS DE RIO GRANDE
RIO GRANDE, PR
00745-0000

Practice Phone: 787-888-7722
Practice Fax: 787-888-7722

1619188257 — MUNICIPIO DE RIO GRANDE
Practice Location Address:

CALLE MANUEL PIMENTEL Y CASTRO #200 , PUEBLO
RIO GRANDE, PR
00745-0000

Practice Phone: 787-809-1010
Practice Fax:

Directions to “CENTRO DIAGNOSTICO Y TRATAMIENTO DE RIO GRANDE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.