Active NPI
Naguabo Radiology Center Inc
- Radiologic Technologist
- Naguabo, PR
National Provider Identifier
1063534188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- 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, 2015
- 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
- Mrs. Migdalia Trabal
- Title
- Administrador
- Phone
- (787) 874-0260
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160318000752 | PR | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0941507974 | Practice locations: Naguabo, PR |
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, and the practitioner matching its NPPES authorized official.
-
- Vascular & Interventional Radiology Physician
- San Juan, PR
- NPI 1548311517
Diagnostic Radiology
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.