Provider Demographics
NPI:1336617513
Name:NUSCAN HUMACAO
Entity Type:Organization
Organization Name:NUSCAN HUMACAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-744-5278
Mailing Address - Street 1:PO BOX 6960
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6960
Mailing Address - Country:US
Mailing Address - Phone:787-744-5278
Mailing Address - Fax:787-744-5433
Practice Address - Street 1:18 AVE FONT MARTELO
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3342
Practice Address - Country:US
Practice Address - Phone:787-741-6278
Practice Address - Fax:787-744-5433
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUSCAN CSP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Single Specialty