MEDICARE: INSTITUTO DE SONOGRAFIA DE PR

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1447691308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTO DE SONOGRAFIA DE PR

Provider Business Mailing Address
First Line	:	400 AVE FD ROOSEVELT STE 206
Second Line	:	CLINICA LAS AMERICAS
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2129
Country	:	US
Telephone Number	:	787-764-8787
Fax Number	:	787-250-1029

Provider Business Practice Location Address
First Line	:	400 AVE FD ROOSEVELT STE 206
Second Line	:	CLINICA LAS AMERICAS
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2129
Country	:	US
Telephone Number	:	787-764-8787
Fax Number	:	787-250-1029

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. FERNANDO RAMOS MERCADO
Credential	:	MD
Telephone Number	:	787-764-8787

Provider Enumeration Date	:	07/08/2013
Last Update Date	:	07/08/2013

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Directions to “INSTITUTO DE SONOGRAFIA DE PR ” Practice Location

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