Provider Demographics
NPI:1902178635
Name:ABSOLUTE DIAGNOSTIC PSC
Entity Type:Organization
Organization Name:ABSOLUTE DIAGNOSTIC PSC
Other - Org Name:ABSOLUTE DIAGNOSTIC PSC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:ARRAIZA-ANTONMATTEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-3000
Mailing Address - Street 1:PO BOX 140339
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0339
Mailing Address - Country:US
Mailing Address - Phone:787-878-3000
Mailing Address - Fax:787-878-8106
Practice Address - Street 1:BO SAN DANIEL
Practice Address - Street 2:SUITE 1 ARECIBO MEDICAL CENTER
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-878-3000
Practice Address - Fax:787-878-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty