Provider Demographics
NPI:1124362132
Name:CALLE 5 PARTNERS
Entity Type:Organization
Organization Name:CALLE 5 PARTNERS
Other - Org Name:CARIBBEAN RADIOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:ALVAREZ COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-593-6464
Mailing Address - Street 1:1353 AVE LUIS VIGOREAUX
Mailing Address - Street 2:PMB 657
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2715
Mailing Address - Country:US
Mailing Address - Phone:787-593-6464
Mailing Address - Fax:
Practice Address - Street 1:728 AVE PONCE DE LEON
Practice Address - Street 2:LOCAL NUM. 3
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4500
Practice Address - Country:US
Practice Address - Phone:787-593-6464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR309713OtherREGISTRO DEPTO ESTADO