Provider Demographics
NPI:1932317328
Name:AMC EMERGENCY CORP DBA ARECIBO RADIOLOGY
Entity Type:Organization
Organization Name:AMC EMERGENCY CORP DBA ARECIBO RADIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTONMATTEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-815-1212
Mailing Address - Street 1:549 CALLE DEL MAR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2869
Mailing Address - Country:US
Mailing Address - Phone:787-815-1212
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 81.07
Practice Address - Street 2:BO CARRIZALES
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-815-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC79627Medicare UPIN