Provider Demographics
NPI:1124278361
Name:INTEGRATED RADIOLOGY ASSOCIATES, INC
Entity type:Organization
Organization Name:INTEGRATED RADIOLOGY ASSOCIATES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:LLD, BA
Authorized Official - Phone:787-723-9393
Mailing Address - Street 1:1319 ASHFORD
Mailing Address - Street 2:SUITE 1 CONDOMINIO SONSID
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1344
Mailing Address - Country:US
Mailing Address - Phone:787-723-9393
Mailing Address - Fax:787-723-9251
Practice Address - Street 1:1319 ASHFORD
Practice Address - Street 2:SUITE 1 CONDOMINIO SONSID
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1344
Practice Address - Country:US
Practice Address - Phone:787-723-9393
Practice Address - Fax:787-723-9251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty