Provider Demographics
NPI:1649594060
Name:INSIGHT READING GROUP-LUQUILLO
Entity Type:Organization
Organization Name:INSIGHT READING GROUP-LUQUILLO
Other - Org Name:INSIGHT RADIOLOGY PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-256-3222
Mailing Address - Street 1:PO BOX 1633
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1633
Mailing Address - Country:US
Mailing Address - Phone:787-256-3222
Mailing Address - Fax:787-256-3220
Practice Address - Street 1:PR RD 193 KM 1.0
Practice Address - Street 2:PLAYA AZUL CENTER, LOCAL 5
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773
Practice Address - Country:US
Practice Address - Phone:787-256-3222
Practice Address - Fax:787-256-3220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Multi-Specialty