OrganizationActive
Medical Ancillary Diagnostic Services
NPI 1629192471 · Other Specialist/Technologist · Toa Baja, PR
Provider details
- NPI number
- 1629192471
- Entity type
- Organization
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Heriberto Morales, President(787) 261-5173
- License
- 0087889 (PR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
Ave Boulevard Ee20
Levittown
Toa Baja, PR 00949-5900
Phone: (787) 261-5173
Fax: (787) 261-2953
Mailing address
4633 Ave Isla Verde
Carolina, PR 00979-5300
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.