Provider Demographics
NPI:1891722989
Name:INSIGHT MANAGEMENT GROUP INC
Entity Type:Organization
Organization Name:INSIGHT MANAGEMENT GROUP INC
Other - Org Name:INSIGHT RADIOLOGY PUERTO RICO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-403-9820
Mailing Address - Street 1:P O BOX 1633
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-256-3222
Mailing Address - Fax:787-256-3220
Practice Address - Street 1:PR RD 2, KM. 123.8
Practice Address - Street 2:BO. CAIMITAL ALTO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00625
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:2006-06-26
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0058371Medicare ID - Type Unspecified