Provider Demographics
NPI:1932223237
Name:SONO X RAY RADIOLOGY GROUP
Entity Type:Organization
Organization Name:SONO X RAY RADIOLOGY GROUP
Other - Org Name:QUADRANGLE IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUBRIEL-MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-746-1688
Mailing Address - Street 1:PO BOX 1778
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-1778
Mailing Address - Country:US
Mailing Address - Phone:787-746-1688
Mailing Address - Fax:787-746-2292
Practice Address - Street 1:50 AVE LUIS MUNOZ MARIN
Practice Address - Street 2:SUITES 207-209, 107-108, 103-104, 106
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3975
Practice Address - Country:US
Practice Address - Phone:787-746-1610
Practice Address - Fax:787-703-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085R0202X
PR8402261QR0200X
PR8236261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6240005OtherHUMANA INSURANCE PLAN
PRA791OtherFIRST PLUS
PRA791OtherINTERNATIONAL MEDICAL CAR
PR037925800Medicaid
PR20355OtherAMERICAN HEALTH
PR810097OtherMMM PROVIDER NUMBER
PRRX0119OtherPANAMERICAN LIFE INSURANC
PR922OtherAMERICAN HEALTH MEDICARE
PR1932223237OtherTRIPLE-S
PR30030OtherPREFERRED MEDICARE CHOICE
PR511392OtherPREFERRED HEALTH PLAN
PR81064OtherTRIPLE-S PROVIDER NUMBER
PR6240005OtherHUMANA HEALTH PLAN
PR81494OtherTRIPLE-S PROVIDER NUMBER
PRA791OtherINTERNATIONAL MEDICAL CAR
PRRX0119OtherPANAMERICAN LIFE INSURANC
PR30030OtherPREFERRED MEDICARE CHOICE
PR6240005OtherHUMANA INSURANCE PLAN
PRA791OtherFIRST PLUS
PR20355OtherAMERICAN HEALTH