Provider Demographics
NPI:1174700884
Name:COMPREHENSIVE RADIOLOGY CONSULTANTS, PSC
Entity type:Organization
Organization Name:COMPREHENSIVE RADIOLOGY CONSULTANTS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLAZO-ORNES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-485-9863
Mailing Address - Street 1:50 AVE LOPATEGUI
Mailing Address - Street 2:PARKVILLE PLAZA SUITE 208
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-4537
Mailing Address - Country:US
Mailing Address - Phone:787-485-9863
Mailing Address - Fax:
Practice Address - Street 1:50 AVE LOPATEGUI
Practice Address - Street 2:PARKVILLE PLAZA SUITE 208
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-4537
Practice Address - Country:US
Practice Address - Phone:787-485-9863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty