Provider Demographics
NPI:1780897025
Name:DIAMECO CORP
Entity type:Organization
Organization Name:DIAMECO CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:EDUARDO
Authorized Official - Last Name:PROFET
Authorized Official - Suffix:
Authorized Official - Credentials:MD, RDMS, RVT, RDCS
Authorized Official - Phone:787-557-2668
Mailing Address - Street 1:1099, CALLE 5
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-5118
Mailing Address - Country:US
Mailing Address - Phone:787-274-9505
Mailing Address - Fax:787-274-9505
Practice Address - Street 1:108, DIEZ DE ANDINO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-2121
Practice Address - Country:US
Practice Address - Phone:787-274-9505
Practice Address - Fax:787-274-9505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD76083 ARDMS2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Multi-Specialty