Provider Demographics
NPI:1467933317
Name:LOIZA VALLEY MR & CT CENTER
Entity Type:Organization
Organization Name:LOIZA VALLEY MR & CT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVAREZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:787-954-9389
Mailing Address - Street 1:4AA CALLE BAHUINIA
Mailing Address - Street 2:URB. LOIZA VALLEY
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3551
Mailing Address - Country:US
Mailing Address - Phone:787-945-0328
Mailing Address - Fax:786-364-1100
Practice Address - Street 1:LOIZA VALLEY SHOPPING CENTER
Practice Address - Street 2:LOCAL AA4
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-954-9389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-28
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MammographyGroup - Multi-Specialty