National Provider Identifier Database

PREMIER NUCLEAR MEDICINE CSP
Nuclear Imaging & Therapy


Contact Information

PREMIER NUCLEAR MEDICINE CSP
HOSPITAL RYDER MEMORIAL
355 CALLE FONT MARTELO
HUMACAO, PR00791-3249
Phone: 787-850-2012
Fax: 787-850-2012
Website:
Specialty Taxonomy Code
* Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for PREMIER NUCLEAR MEDICINE CSP

NPI Number 1295017010
Legal business name
LBN
PREMIER NUCLEAR MEDICINE CSP
Authorized official MARIA ACEVEDO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/19/2011
Last updated 06/01/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PR License #: 10641
  • PR Other: FC340A MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for PREMIER NUCLEAR MEDICINE CSP

There are currently no reviews for PREMIER NUCLEAR MEDICINE CSP


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