Provider Demographics
NPI:1013158237
Name:MRI ASSOCIATES PSC
Entity type:Organization
Organization Name:MRI ASSOCIATES PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-261-2140
Mailing Address - Street 1:PMB SUITE 187 #90 AVE RIO HONDO
Mailing Address - Street 2:CENTRO COMERCIAL PLAZA RIO HONDO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-3100
Mailing Address - Country:US
Mailing Address - Phone:787-261-2140
Mailing Address - Fax:787-261-3422
Practice Address - Street 1:CENTRO COMERCIAL PLAZA RIO HONDO
Practice Address - Street 2:LOCAL 74B
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-261-2140
Practice Address - Fax:787-261-3422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7089261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology