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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 Specialty Code Provider Type

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for PREMIER NUCLEAR MEDICINE CSP

NPI Number 1295017010
LBN Legal business name PREMIER NUCLEAR MEDICINE CSP
Authorized official MARIA ACEVEDO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2011
Last updated 06/01/2020 - About 6 years ago
Identifiers
PR License # 10641
PR Other FC340A MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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