Provider Demographics
NPI:1235433541
Name:NUMEDIC GLOBAL INC.
Entity Type:Organization
Organization Name:NUMEDIC GLOBAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:P
Authorized Official - Last Name:BORDEWYK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-817-8766
Mailing Address - Street 1:B23 SOUTHVIEW CT
Mailing Address - Street 2:URB BALDWIN PARK
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4118
Mailing Address - Country:US
Mailing Address - Phone:787-817-8766
Mailing Address - Fax:787-817-8094
Practice Address - Street 1:CALLE MORELL CAMPOS #49
Practice Address - Street 2:URB GARCIA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-817-8766
Practice Address - Fax:787-817-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7691207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Single Specialty