Provider Demographics
NPI:1033183603
Name:CARIBBEAN IMAGING AND RADIATION TREATMENT CENTER,INC
Entity Type:Organization
Organization Name:CARIBBEAN IMAGING AND RADIATION TREATMENT CENTER,INC
Other - Org Name:CIRT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:RICARDO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:787-842-2478
Mailing Address - Street 1:PONCE BY PASS
Mailing Address - Street 2:SUIT 103 PARRA BUILDING 2225
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1320
Mailing Address - Country:US
Mailing Address - Phone:787-842-2478
Mailing Address - Fax:787-841-2818
Practice Address - Street 1:PONCE BY PASS
Practice Address - Street 2:SUIT 103 PARRA BUILDING 2225
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1320
Practice Address - Country:US
Practice Address - Phone:787-842-2478
Practice Address - Fax:787-841-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-13
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherSSN