Provider Demographics
NPI:1124273248
Name:AMERICAN IMAGING PR, INC.
Entity type:Organization
Organization Name:AMERICAN IMAGING PR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-989-3680
Mailing Address - Street 1:202-A CALLE SAN JUSTO STREET
Mailing Address - Street 2:SUITE 314
Mailing Address - City:OLD SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917
Mailing Address - Country:US
Mailing Address - Phone:561-989-3680
Mailing Address - Fax:561-989-3689
Practice Address - Street 1:202-A SAN JUSTO STREET
Practice Address - Street 2:SUITE 314
Practice Address - City:OLD SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:561-989-3680
Practice Address - Fax:561-989-3689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology