WEST TELERADIOLOGY PSC


Address: 114 Mendez Vigo E, Mayaguez, PR 00680-5052
Phone: 7878068185

WEST TELERADIOLOGY PSC (NPI# 1104246552) 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) 1104246552
Entity Type Organization
Organization Name WEST TELERADIOLOGY PSC
Practice Address 114 Mendez Vigo E
Mayaguez
PR 00680-5052
Practice Telephone 7878068185
Mailing Telephone 7878068185
Enumeration Date 2014-04-24
Last Update Date 2014-04-24
Authorized Official Name DR. GUILLERMO J AGUILO (PRESIDENT)
Authorized Official Telephone 7878068185
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
13824 PR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PR NPI # 1033227590 21014 01

Office Location

Street Address 114 MENDEZ VIGO E
City MAYAGUEZ
State PR
Zip Code 00680-5052

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City MAYAGUEZ
Zip Code 00680

Improve Information

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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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