Provider Demographics
NPI:1538302476
Name:NEURO SKELETAL IMAGING PSC
Entity Type:Organization
Organization Name:NEURO SKELETAL IMAGING PSC
Other - Org Name:NEUROSKELETAL IMAGING, PSC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAIUOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-724-3777
Mailing Address - Street 1:PO BOX 190679
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-0679
Mailing Address - Country:US
Mailing Address - Phone:787-705-5675
Mailing Address - Fax:787-705-5677
Practice Address - Street 1:400 AVE DOMENECH STE 101
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3748
Practice Address - Country:US
Practice Address - Phone:787-705-5677
Practice Address - Fax:787-705-5675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty