NPI 1720504814

Lazos Radiology Center, LLC

Organisation Mammography Radiologic Technologist San Juan, PR

Practice location

Address: 611 Calle Manuel Pavia Pavia Medical Plaza, Suite 113, San Juan, PR 00910
Phone: (787) 727-0500
Fax: (787) 268-5511
Mailing address: PO Box 11792, San Juan, PR 00910-2892

Authorised official

Name: Wilma Cordero Gines
Title: Manager
Phone: (787) 727-0500

Registered specialties (7)

Mammography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471M2300X

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Registry record

NPI: 1720504814
Entity type: Organization
NPI issued: 21 Aug 2017
Record last updated: 21 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.