Provider Demographics
NPI:1063534188
Name:NAGUABO RADIOLOGY CENTER INC
Entity type:Organization
Organization Name:NAGUABO RADIOLOGY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRABAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-874-0260
Mailing Address - Street 1:43 JOSE R GARZOT
Mailing Address - Street 2:
Mailing Address - City:NAGUABO
Mailing Address - State:PR
Mailing Address - Zip Code:00718-0000
Mailing Address - Country:US
Mailing Address - Phone:787-874-0260
Mailing Address - Fax:787-874-0260
Practice Address - Street 1:43 GARZOT STREET
Practice Address - Street 2:
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718-0000
Practice Address - Country:US
Practice Address - Phone:787-874-0260
Practice Address - Fax:787-874-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiologyGroup - Single Specialty