Provider Demographics
NPI:1518155944
Name:MEDICAL ANCILLARY NON INVASIVE
Entity Type:Organization
Organization Name:MEDICAL ANCILLARY NON INVASIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PADILLA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-5704
Mailing Address - Street 1:PO BOX 1096
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1096
Mailing Address - Country:US
Mailing Address - Phone:787-854-5704
Mailing Address - Fax:787-854-5704
Practice Address - Street 1:URB. ATENAS
Practice Address - Street 2:CALLE ELLIOT VELEZ J-23 STE 205
Practice Address - City:MANATI
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00674
Practice Address - Country:UM
Practice Address - Phone:787-854-5704
Practice Address - Fax:787-854-5704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471C1101XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistCardiovascular-Interventional TechnologyGroup - Single Specialty