Provider Demographics
NPI:1306069901
Name:SOCIEDAD DE RADIOLOGOS CONSULTORES,P.S.C.
Entity type:Organization
Organization Name:SOCIEDAD DE RADIOLOGOS CONSULTORES,P.S.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERO-CALERO,
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-854-3131
Mailing Address - Street 1:P. O. BOX 845
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0845
Mailing Address - Country:US
Mailing Address - Phone:787-854-3131
Mailing Address - Fax:787-854-3235
Practice Address - Street 1:CENTRO RADIOLOGICO Y SONOGRAFICO DE MANATI
Practice Address - Street 2:CALLE MARGINAL ELLIOT VELEZ, ESQ. HERNANDEZ,URB. ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3131
Practice Address - Fax:787-854-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085360OtherMEDICARE PTAN