Active NPI
Interventional Radiology Associates, P.S.C.
- Vascular & Interventional Radiology Physician
- San Juan, PR
National Provider Identifier
1043498454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4759
- Legal business name
- INTERVENTIONAL RADIOLOGY ASSOCIATES, P.S.C.
- Practice address
- Calle 2 #34
Urb. Paseo Alto
San Juan, PR 00926 - Phone
- (787) 760-9208
- NPI assigned
- Feb 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manuel R Perez, M.D.
- Title
- President
- Phone
- (787) 760-9208
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Radiology Physician | 2085R0202X | 4759 | PR | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4759 | PR | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
Calle 2 #34
Urb. Paseo Alto
San Juan, PR 00926
Mailing address
PO Box 19120
San Juan, PR 00910
Phone (787) 760-9208
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Ultrasound Physician
- Santurce, PR
- NPI 1376637165
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202342400000",
"number": "1043498454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19120",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00910",
"telephone_number": "787-760-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE 2 #34",
"address_2": "URB. PASEO ALTO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-9208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL RADIOLOGY ASSOCIATES, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-07",
"last_updated": "2008-02-07",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-760-9208",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "PR",
"license": "4759",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PR",
"license": "4759",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Internal Medicine Professional Services, PSC
- International Clinitian Medical Group PS
- International Health Care Consulting Inc.
- International Manage Care Service of Puerto Rico
- Intervencion Nutricional LLC
- Interventional Radiology Care Group
- Interventional Solutions PSC
- Interwell Health Medical Group PLLC
- Intracare Infusion and Compounding Pharmacy
- Intracare Infusion and Compounding Phcy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.