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Contact Information

SOUTHERN MEDICAL IMAGING, PSC
227 CALLE ISABEL
MANSION REAL
COTO LAUREL, PR00780-2601
 Phone: 787-848-4624
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

In Vivo & In Vitro Nuclear Medicine

207UN0903X 36 Physician/Nuclear Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Nuclear Imaging & Therapy

207UN0902X 36 Physician/Nuclear Medicine
 

Nuclear Radiology

2085N0904X
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for SOUTHERN MEDICAL IMAGING, PSC

NPI # 1992944136
LBN Legal business name SOUTHERN MEDICAL IMAGING, PSC
Authorized official ADRIAN ALVAREZ DE LA CAMPA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2009
Last updated 05/12/2015 - About 11 years ago
Identifiers
PR License # 15370
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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