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DE DIEGO AMBULATORY CLINIC CORP NPI 1053052852


NPI Information

NPI: 1053052852
Provider Name: DE DIEGO AMBULATORY CLINIC CORP
Classification: Radiology - 2085B0100X
Entity Type: Organization

Specialization: Body Imaging

Address:
150 AVE DE DIEGO STE 1
SAN JUAN, PR
ZIP 00907
Phone: (787) 977-7575
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DE DIEGO AMBULATORY CLINIC CORP is a body imaging radiology in San Juan, PR. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DE DIEGO AMBULATORY CLINIC CORP NPI is 1053052852. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 AVE DE DIEGO STE 1
SAN JUAN, PR
ZIP 00907-309
Phone: (787) 977-7575
Fax: (787) 977-7586

The provider's authorized official is William Jimenez .
The authorized official title is Billing And Collection Manager and has the following contact phone number (787) 977-7575.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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