Provider Demographics
NPI:1720168560
Name:BIOIMAGENES MEDICAS CSP
Entity Type:Organization
Organization Name:BIOIMAGENES MEDICAS CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-805-2041
Mailing Address - Street 1:PO BOX 876
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1503
Mailing Address - Country:US
Mailing Address - Phone:787-805-2041
Mailing Address - Fax:787-806-3315
Practice Address - Street 1:2638 AVE HOSTOS
Practice Address - Street 2:EDIFICIO BIOPLAZA SUITE 101
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1503
Practice Address - Country:US
Practice Address - Phone:787-805-2041
Practice Address - Fax:787-986-0820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0081083Medicare PIN