OrganizationActive
Innovative Interventional Radiology Imaging
NPI 1710299722 · Vascular & Interventional Radiology Physician · Trujillo Alto, PR
Provider details
- NPI number
- 1710299722
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ivelisse Cancel, Vicepresident/Administrator(787) 487-6096
- License
- 14053 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
Cond Andreas Court
370 Calle 10 Apt 146
Trujillo Alto, PR 00976
Phone: (787) 761-7477
Mailing address
Cond Andreas Court
Trujillo Alto, PR 00976
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2010-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.