Provider Demographics
NPI:1992993208
Name:BORINQEN ULTRASOUND, INC.
Entity type:Organization
Organization Name:BORINQEN ULTRASOUND, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABED
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEVRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-533-6795
Mailing Address - Street 1:D8 CALLE DE LA VERA
Mailing Address - Street 2:URB VILLA ESPANA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7357
Mailing Address - Country:US
Mailing Address - Phone:787-533-6795
Mailing Address - Fax:787-995-0545
Practice Address - Street 1:URB SANTA ROSA BLOQUE 16 # 34
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-995-0861
Practice Address - Fax:787-995-0545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory