Provider Demographics
NPI:1427028018
Name:CYRCORP
Entity Type:Organization
Organization Name:CYRCORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:787-739-4472
Mailing Address - Street 1:PO BOX 1904
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1904
Mailing Address - Country:US
Mailing Address - Phone:787-739-4472
Mailing Address - Fax:787-739-9318
Practice Address - Street 1:18 CALLE BALDORIOTY
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739-3455
Practice Address - Country:US
Practice Address - Phone:787-739-4472
Practice Address - Fax:787-739-9318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty