Provider Demographics
NPI:1437408929
Name:ISABELA IMAGING CENTER, INC.
Entity Type:Organization
Organization Name:ISABELA IMAGING CENTER, INC.
Other - Org Name:CENTRO SONOGRAFICO DE ISABELA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEILYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DE CARDONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-983-8431
Mailing Address - Street 1:PO BOX 4284
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-4284
Mailing Address - Country:US
Mailing Address - Phone:787-983-8431
Mailing Address - Fax:
Practice Address - Street 1:8-B CALLE E QUEVEDO
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-983-9431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography