Provider Demographics
NPI:1891188561
Name:CENTRO SONOGRAFICO ESPECIALIZADO DE BARCELONETA L.L.C.
Entity Type:Organization
Organization Name:CENTRO SONOGRAFICO ESPECIALIZADO DE BARCELONETA L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-317-5346
Mailing Address - Street 1:PO BOX 1745
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-1745
Mailing Address - Country:US
Mailing Address - Phone:787-317-5346
Mailing Address - Fax:
Practice Address - Street 1:CARR. 140 KM. 68.1
Practice Address - Street 2:BO. PUEBLO
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-1745
Practice Address - Country:US
Practice Address - Phone:787-317-5346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty