J K Radiology Group Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

J K RADIOLOGY GROUP INC

Practice address

Ave 181 KM 2.1
Trujillo Medical Suite 202 Y 203
Trujillo Alto, PR 00976

Phone

(787) 748-2840

Fax

(787) 748-2840

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jose J. Santiago Vega

Title

President

Phone

(787) 748-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TRUJILO ALTO IMAGING CENTER Other name

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1013170703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF. N APT. 205",
            "address_2": "COND. WOODLAND",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-748-2840",
            "fax_number": "787-748-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 181 KM 2.1",
            "address_2": "TRUJILLO MEDICAL SUITE 202 Y 203",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-748-2840",
            "fax_number": "787-748-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J K RADIOLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO VEGA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-748-2840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY",
            "identifier": "TA0913",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUJILO ALTO IMAGING CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Radiology Clinic/Center in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.