Provider Demographics
NPI:1336340223
Name:SYNCOR CARIBE
Entity Type:Organization
Organization Name:SYNCOR CARIBE
Other - Org Name:SIGNET PUERTO RICO
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CENTER DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUFFRONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-721-7776
Mailing Address - Street 1:1448 AVE FERNANDEZ JUNCOS
Mailing Address - Street 2:
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2655
Mailing Address - Country:US
Mailing Address - Phone:787-721-7776
Mailing Address - Fax:787-721-7774
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:787-721-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)