Provider Demographics
NPI:1619627791
Name:YLA IMAGING, LLC
Entity Type:Organization
Organization Name:YLA IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YANIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOPEZ ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-538-3648
Mailing Address - Street 1:500 CALLE VALCARCEL APT 13E
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-3344
Mailing Address - Country:US
Mailing Address - Phone:787-538-3648
Mailing Address - Fax:
Practice Address - Street 1:AVE. 65 INFANTERIA CARR 3 KM 8.3
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty