Organization Active NPI

Naguabo Radiology Center Inc

  • Radiologic Technologist
  • Naguabo, PR
National Provider Identifier
1063534188
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
NAGUABO RADIOLOGY CENTER INC
Practice address
43 Garzot Street
Naguabo, PR 00718-0000
Phone
(787) 874-0260
Fax
(787) 874-0260
NPI assigned
Apr 6, 2007
Last updated
Sep 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Mrs. Migdalia Trabal
Title
Administrador
Phone
(787) 874-0260

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Radiologic Technologist 247100000X NU Primary
Sonography Radiologic Technologist 2471S1302X NU

Addresses

Primary practice location

43 Garzot Street
Naguabo, PR 00718-0000

Mailing address

43 Jose R Garzot
Naguabo, PR 00718-0000
Phone (787) 874-0260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160318000752 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0941507974 Practice locations: Naguabo, PR

National Provider Directory

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": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1063534188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 JOSE R GARZOT",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180000",
            "telephone_number": "787-874-0260",
            "fax_number": "787-874-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 GARZOT STREET",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180000",
            "telephone_number": "787-874-0260",
            "fax_number": "787-874-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGUABO RADIOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "TRABAL",
        "authorized_official_first_name": "MIGDALIA",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-874-0260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naguabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.