Provider Demographics
NPI:1184227191
Name:CARIBBEAN ULTRASOUND LLC
Entity Type:Organization
Organization Name:CARIBBEAN ULTRASOUND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ FELICIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-420-2034
Mailing Address - Street 1:205 CALLE GEORGETTI
Mailing Address - Street 2:
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-0998
Mailing Address - Country:US
Mailing Address - Phone:787-420-2034
Mailing Address - Fax:787-877-3516
Practice Address - Street 1:205 CALLE GEORGETTI
Practice Address - Street 2:
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-0998
Practice Address - Country:US
Practice Address - Phone:787-420-2034
Practice Address - Fax:787-877-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-20
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile