Provider Demographics
NPI:1215077607
Name:CENTRO DE IMAGENES DEL NORESTE
Entity type:Organization
Organization Name:CENTRO DE IMAGENES DEL NORESTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILIO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES REYES
Authorized Official - Suffix:
Authorized Official - Credentials:2632 LIC
Authorized Official - Phone:787-257-6800
Mailing Address - Street 1:C5 AVE ROBERTO CLEMENTE
Mailing Address - Street 2:VILLA CAROLINA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5405
Mailing Address - Country:US
Mailing Address - Phone:787-257-6800
Mailing Address - Fax:787-776-2395
Practice Address - Street 1:C5 AVE ROBERTO CLEMENTE
Practice Address - Street 2:VILLA CAROLINA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5405
Practice Address - Country:US
Practice Address - Phone:787-257-6800
Practice Address - Fax:787-776-2395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty