Invoice Radiologist in Peru Lima –Free Word Template Download with AI
Specialized Radiology & Diagnostic Imaging Center
Av. Javier Prado Este 4500, San Isidro
Lima, Peru - Postal Code: 15073
RUC: 20601234567
Phone: +51 (1) 456-7890 | Email: [email protected]
Invoice Number: E-001-045892
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Payment Terms: Net 30 Days
BILL TO:
Hospital Nacional Cayetano Heredia
Av. Honorio Delgado 430, Santiago de Surco
Lima, Peru
RUC: 20001234567
Attn: Procurement Department / Medical Director
SERVICES PROVIDED BY:
Dr. Alejandro Mendoza, M.D., Ph.D.
Board-Certified Radiologist
Specialty: Neuroradiology & Advanced MRI Interpretation
ColMed License: 12345678
Operating within the jurisdiction of Lima, Peru
| # | Description of Radiological Services | Quantity | Unit Price (PEN) | Total (PEN) |
|---|---|---|---|---|
| 1 |
Advanced MRI Interpretation (Neurological) Comprehensive analysis of 3T MRI scans for complex neurological conditions. Includes detailed report generation compliant with Peruvian Ministry of Health standards. |
15 | 450.00 | 6,750.00 |
| 2 |
CT Scan Interpretation (Thoracic & Abdominal) Urgent and routine interpretation of Computed Tomography scans. Includes contrast-enhanced studies and differential diagnosis recommendations. |
25 | 350.00 | 8,750.00 |
| 3 |
Mammography Screening & Diagnostic Review Specialized radiological assessment for breast imaging, including BI-RADS classification and follow-up recommendations. |
10 | 300.00 | 3,000.00 |
| 4 |
Consultation & Tumor Board Participation Expert radiologist consultation for multidisciplinary tumor boards in Lima. Includes case presentation and imaging correlation. |
4 | 800.00 | 3,200.00 |
| 5 |
Urgent Radiology Coverage (Weekend/Holidays) On-call radiologist services for emergency imaging interpretation in Lima healthcare facilities. |
8 | 600.00 | 4,800.00 |
| Subtotal: | S/ 26,500.00 |
| IGV (18% VAT - Peru): | S/ 4,770.00 |
| TOTAL AMOUNT DUE: | S/ 31,270.00 |
Amount in words: Thirty-one thousand two hundred seventy Peruvian Soles and 00/100.
Payment Instructions:
Please make payment via bank transfer to the following account:
Bank: Banco de Crédito del Perú (BCP)
Account Name: IMAGENES AVANZADAS DEL PERU S.A.C.
Account Number: 194-0001234567-0-19
CCI: 0021940001234567019
Please include the invoice number as reference.
Important Notes:
All radiological services were performed in accordance with the regulations established by the Peruvian Ministry of Health (MINSA) and the Colegio Médico del Perú. The radiologist providing these services holds valid certification and operates within the legal framework of Lima, Peru. This invoice represents professional fees for diagnostic interpretation and consultation services only. Equipment usage fees are billed separately by the facility.
Authorized by:
Dr. Alejandro Mendoza, M.D., Ph.D.
Lead Radiologist
Signature: ___________________
Received by:
Hospital Nacional Cayetano Heredia
Procurement Department
Signature: ___________________
This invoice is issued in compliance with the Peruvian tax regulations administered by SUNAT (Superintendencia Nacional de Aduanas y de Administración Tributaria). All services described herein were rendered by a qualified radiologist practicing in Lima, Peru. The interpretations provided are based on current medical standards and imaging protocols. This document serves as an official record of professional services rendered and may be used for accounting, tax, and insurance purposes. Any disputes regarding this invoice should be addressed within 30 days of receipt. The radiologist reserves the right to update interpretations if additional clinical information becomes available. All patient data handled during these services is protected under Peruvian data privacy laws.
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