Provider Demographics
NPI:1164435608
Name:RADIOLOGY SUPPORTING SERVICES
Entity Type:Organization
Organization Name:RADIOLOGY SUPPORTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-748-8729
Mailing Address - Street 1:16 PARQUE TIVOLI
Mailing Address - Street 2:PASEO DEL PARQUE
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6500
Mailing Address - Country:US
Mailing Address - Phone:787-748-8729
Mailing Address - Fax:787-760-2021
Practice Address - Street 1:16 PARQUE TIVOLI
Practice Address - Street 2:PASEO DEL PARQUE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6500
Practice Address - Country:US
Practice Address - Phone:787-748-8729
Practice Address - Fax:787-760-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty