Provider Demographics
NPI:1710202510
Name:CARIBBEN NEURORADIOLOGY SERVICES, INC.
Entity Type:Organization
Organization Name:CARIBBEN NEURORADIOLOGY SERVICES, INC.
Other - Org Name:CARIBE MRI II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REMY
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-843-8282
Mailing Address - Street 1:EDIFICIO TORRE SOFIA
Mailing Address - Street 2:CALLE NAVARRA 1825
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:787-843-8282
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO TORRE SOFIA
Practice Address - Street 2:CALLE NAVARRA 1825
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730
Practice Address - Country:US
Practice Address - Phone:787-843-8282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARIBEAN NEURORADIOLOGY SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty