Provider Demographics
NPI:1932770757
Name:RAD DIAGNOSTICS, P.S.C.
Entity type:Organization
Organization Name:RAD DIAGNOSTICS, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZORAIDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ESTELA JOVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-641-4488
Mailing Address - Street 1:PO BOX 360178
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0178
Mailing Address - Country:US
Mailing Address - Phone:787-641-4488
Mailing Address - Fax:787-641-4492
Practice Address - Street 1:PROFESSIONAL CENTER BUILDING
Practice Address - Street 2:SUITE 208-209 CALLE MUNOZ RIVERA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0001
Practice Address - Country:US
Practice Address - Phone:787-641-4488
Practice Address - Fax:787-641-4492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology