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NPI Code Detail

MEDICARE: DR. MANUEL R PRATS VEGA M.D.

MEDICARE: DR. MANUEL R PRATS VEGA M.D.
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
12085R0202XDiagnostic Radiology Physician10382PR
2174400000XSpecialist10382PR

General Provider Information

NPI Number : 1326041500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANUEL R PRATS VEGA M.D.
Provider Business Mailing Address
First Line : PMB 336, 405 AVE. ESMERALDA
Second Line : SUITE 2
City : GUAYNABO
State : PR
Zip : 00969-4457
Country : US
Telephone Number : 787-272-0668
Fax Number : 787-708-2588
Provider Business Practice Location Address
First Line : 6 CALLE CARAZO
Second Line :
City : GUAYNABO
State : PR
Zip : 00969-5639
Country : US
Telephone Number : 787-272-3182
Fax Number : 787-708-2588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/12/2024

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