Provider Demographics
NPI:1598463622
Name:MRI EXPRESS
Entity Type:Organization
Organization Name:MRI EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-669-8907
Mailing Address - Street 1:1501 AVE FERNANDEZ JUNCOS STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2761
Mailing Address - Country:US
Mailing Address - Phone:787-296-8880
Mailing Address - Fax:
Practice Address - Street 1:1501 AVE FERNANDEZ JUNCOS STE 101
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2761
Practice Address - Country:US
Practice Address - Phone:787-296-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology