Organization Active NPI

Centro Radiologico del Oeste

  • Diagnostic Radiology Physician
  • Mayaguez, PR
National Provider Identifier
1053433896
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5377PR Issued in PR
Legal business name
CENTRO RADIOLOGICO DEL OESTE
Practice address
Calle Peral #17N
Mayaguez, PR 00680
Phone
(787) 833-3168
Fax
(787) 265-3191
NPI assigned
Apr 4, 2007
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Moises O Acevedo, MD
Title
Medico
Phone
(787) 833-3168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5377PR PR Primary

Addresses

Primary practice location

Calle Peral #17N
Mayaguez, PR 00680

Mailing address

Calle Peral Norte #17N
Mayaguez, PR 00680
Phone (787) 833-3168

Other names 1

  • Centro Radiologico de Moca Other name

National Provider Directory

National Provider Directory
Tax ID family
Centro Radiologico de Moca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1053433896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PERAL NORTE #17N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-3168",
            "fax_number": "787-265-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PERAL #17N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-3168",
            "fax_number": "787-265-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO DEL OESTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "MOISES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-833-3168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5377PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Radiologico de Moca",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.