South Western Radiology Services Psc

LBN: South Western Radiology Services Psc
South Western Radiology Services Psc is an health care organization with primary practice located at D10 Calle 2 Urb. Villa Real, Vega Baja PR 00693-4611. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. South Western Radiology Services Psc can be contacted via phone (787) 807-0900, or through Medina, Manuel via phone (787) 807-0900.

Contact Information

Primary practice address
D10 Calle 2 Urb. Villa Real Vega Baja PR 00693-4611
Fax: (787) 855-2729
Website:
Authorized official contact:
Name: Medina, Manuel Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X 05-265 Puerto Rico
Ambulatory Health Care Facilities / Radiology 261QR0200X 05-265 Puerto Rico

Profile Details

NPI number 1780652594
LBN Legal business name South Western Radiology Services Psc
DBA Doing business as
Authorized official Medina, Manuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2006
Last updated Jun 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780652594 NPPES
Puerto Rico Other 008-4912 MEDICARE PTAN

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