Provider Demographics
NPI:1043467905
Name:OROCOVIS X RAY & IMAGING CENTER PSC
Entity type:Organization
Organization Name:OROCOVIS X RAY & IMAGING CENTER PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAMARYS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-867-2220
Mailing Address - Street 1:HC 5 BOX 11330
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-9594
Mailing Address - Country:US
Mailing Address - Phone:787-867-2220
Mailing Address - Fax:787-867-2220
Practice Address - Street 1:8 CALLE 4 DE JULIO
Practice Address - Street 2:
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-4431
Practice Address - Country:US
Practice Address - Phone:787-867-2220
Practice Address - Fax:787-867-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology