Organization Active NPI

San German X Ray & Body Imaging Center, PSC.

  • Specialist
  • San German, PR
National Provider Identifier
1003871583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
13169 Issued in PR
Legal business name
SAN GERMAN X RAY & BODY IMAGING CENTER, PSC.
Practice address
43 Calle Dr Veve
Edificio Grovas Rodriguez Suite 1
San German, PR 00683-4100
Phone
(787) 892-5030
Fax
(787) 264-7279
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Caroline Rodriguez Ferrer, M.D.NPI 1487619698
Title
Radiologist
Phone
(787) 892-5030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 13169 PR Primary

Addresses

Primary practice location

43 Calle Dr Veve
Edificio Grovas Rodriguez Suite 1
San German, PR 00683-4100

Mailing address

PO Box 559
San German, PR 00683-0559
Phone (787) 892-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000192 PR Part B Supplier - Clinic/Group Practice 0840282968 Receives reassigned benefits from 2 practitioners
Practice locations: San German, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003871583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830559",
            "telephone_number": "787-892-5030",
            "fax_number": "787-264-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CALLE DR VEVE",
            "address_2": "EDIFICIO GROVAS RODRIGUEZ SUITE 1",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834100",
            "telephone_number": "787-892-5030",
            "fax_number": "787-264-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GERMAN X RAY & BODY IMAGING CENTER, PSC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ FERRER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "787-892-5030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "13169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.