Provider Demographics
NPI:1043488307
Name:TURABO MEDICAL CENTER PARTNERSHIP
Entity Type:Organization
Organization Name:TURABO MEDICAL CENTER PARTNERSHIP
Other - Org Name:GRUPO RADIOLOGIA HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICEPRESIDENT CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-653-3434
Mailing Address - Street 1:PO BOX 1744
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1744
Mailing Address - Country:US
Mailing Address - Phone:787-653-3434
Mailing Address - Fax:787-653-1308
Practice Address - Street 1:100 CALLE MUNOZ MARIN URB MARIOLGA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3629
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:787-653-1308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0081028Medicare PIN