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Contact Information

MEDICAL ANCILLARY DIAGNOSTIC SERVICES
AVE BOULEVARD EE20
LEVITTOWN
TOA BAJA, PR00949-5900
 Phone: 787-261-5173
 Fax: 787-261-2953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
Indicates primary specialty

NPI Profile & details for MEDICAL ANCILLARY DIAGNOSTIC SERVICES

NPI # 1629192471
LBN Legal business name MEDICAL ANCILLARY DIAGNOSTIC SERVICES
Authorized official HERIBERTO MORALES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2007
Last updated 06/18/2008 - About 18 years ago
Identifiers
PR License # 0087889
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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