Provider Demographics
NPI:1932263688
Name:ALL IMAGING DIAGNOSTIC CENTER
Entity Type:Organization
Organization Name:ALL IMAGING DIAGNOSTIC CENTER
Other - Org Name:ALL IMAGING RADIOLOGY COMPLEX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRADORA
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORREGROSA VICENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-744-0400
Mailing Address - Street 1:PMB 660 P.O. BOX 4960
Mailing Address - Street 2:CARR. 172 3B11 3RA. SECC. VILLA DEL REY
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4960
Mailing Address - Country:US
Mailing Address - Phone:787-744-0400
Mailing Address - Fax:787-286-0606
Practice Address - Street 1:CARR. 172 3B11 3RA. SECC. VILLA DEL REY
Practice Address - Street 2:CARR. 172 3B11 3RA. SECC. VILLA DEL REY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-744-0400
Practice Address - Fax:787-286-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology