Provider Demographics
NPI:1851615330
Name:GERMAN CHAVES
Entity Type:Organization
Organization Name:GERMAN CHAVES
Other - Org Name:CENTRO RADIOLOGICO VILLALBA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVES-MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-403-3572
Mailing Address - Street 1:PO BOX 801196
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1196
Mailing Address - Country:US
Mailing Address - Phone:787-847-0352
Mailing Address - Fax:
Practice Address - Street 1:43 CALLE BARCELO
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-2253
Practice Address - Country:US
Practice Address - Phone:787-847-0352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE14373Medicare UPIN