Provider Demographics
NPI:1003532516
Name:NEW MEDICAL QUALITY SERVICES- X-RAY STA ISABEL
Entity Type:Organization
Organization Name:NEW MEDICAL QUALITY SERVICES- X-RAY STA ISABEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ORVILL
Authorized Official - Middle Name:E
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-534-3789
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-0818
Mailing Address - Country:US
Mailing Address - Phone:787-534-3789
Mailing Address - Fax:
Practice Address - Street 1:CALLE HOSTOS FINAL 153
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-534-3789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology