Provider Demographics
NPI:1982637872
Name:SIGNET PUERTO RICO
Entity Type:Organization
Organization Name:SIGNET PUERTO RICO
Other - Org Name:SAN JUAN MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMSHID
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYNEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-362-6370
Mailing Address - Street 1:1515 N FEDERAL HWY
Mailing Address - Street 2:#405
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-1911
Mailing Address - Country:US
Mailing Address - Phone:561-362-6370
Mailing Address - Fax:561-362-6353
Practice Address - Street 1:1448 AVE FERNANDEZ JUNCOS
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-2655
Practice Address - Country:US
Practice Address - Phone:787-721-7776
Practice Address - Fax:787-721-7810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)