Provider Demographics
NPI:1437633922
Name:MEDICAL ULTRASOUND AND RESEARCH GROUP, CORP
Entity Type:Organization
Organization Name:MEDICAL ULTRASOUND AND RESEARCH GROUP, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGAN DOMINGUEZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:393-250-3626
Mailing Address - Street 1:MEDICAL ULTRASOUND AND RESEARCH GROUP CORP
Mailing Address - Street 2:PO BOX 24792
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929
Mailing Address - Country:US
Mailing Address - Phone:939-250-3626
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA PRADES
Practice Address - Street 2:708 CALLE JULIO ANDINO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00929
Practice Address - Country:US
Practice Address - Phone:939-250-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty