Provider Demographics
NPI:1346370319
Name:OROCOVIS X RAY & ULTRASOUND
Entity Type:Organization
Organization Name:OROCOVIS X RAY & ULTRASOUND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:
Authorized Official - First Name:YAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-867-2220
Mailing Address - Street 1:HC 5 BOX 11330
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-9594
Mailing Address - Country:US
Mailing Address - Phone:787-867-2220
Mailing Address - Fax:
Practice Address - Street 1:8 CALLE 4 DE JULIO
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4431
Practice Address - Country:US
Practice Address - Phone:787-867-2220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiographyGroup - Single Specialty
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7200018OtherHUMANA HEALTH PLANS
PRA976OtherINTERNATIONAL MEDICAL CAR
PR511147OtherPREFERRED HEALTH
PR=========OtherMAPFRE