JK RADIOLOGY SERVICES, CSP


Address: Trujillo Medical Building Suite 202-203, Expreso Trujillo Alto Km. 2.1, Trujillo Alto, PR 00976
Phone: 7872934641

JK RADIOLOGY SERVICES, CSP (NPI# 1063650893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063650893
Entity Type Organization
Organization Name JK RADIOLOGY SERVICES, CSP
Practice Address Trujillo Medical Building Suite 202-203
Expreso Trujillo Alto Km. 2.1
Trujillo Alto
PR 00976
Mailing Address Po Box 41071
San Juan
PR 00940-1071
Practice Telephone 7872934641
Practice Fax Number 7877482840
Mailing Telephone 7872934641
Mailing Fax Number 7877482840
Enumeration Date 2009-02-02
Last Update Date 2009-02-02
Authorized Official Name DR. JEANNINE M. BADILLO (PRESIDENT)
Authorized Official Telephone 7872934641
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0206X Clinic/Center
Specialization: Radiology, Mammography
12086 PR Ambulatory Health Care Facilities

Office Location

Street Address TRUJILLO MEDICAL BUILDING SUITE 202-203
EXPRESO TRUJILLO ALTO KM. 2.1
City TRUJILLO ALTO
State PR
Zip Code 00976

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Taxonomy Information

Taxonomy Code 261QR0206X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mammography

Taxonomy Definition

Definition to come...

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Competitor

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City TRUJILLO ALTO
Zip Code 00976

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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