JK Radiology Services, CSP

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

12086 Issued in PR

Legal business name

JK RADIOLOGY SERVICES, CSP

Practice address

Trujillo Medical Building Suite 202-203
Expreso Trujillo Alto KM. 2.1
Trujillo Alto, PR 00976

Phone

(787) 293-4641

Fax

(787) 748-2840

NPI assigned

Feb 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeannine M. Badillo, MD

Title

President

Phone

(787) 293-4641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1063650893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41071",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009401071",
            "telephone_number": "787-293-4641",
            "fax_number": "787-748-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRUJILLO MEDICAL BUILDING SUITE 202-203",
            "address_2": "EXPRESO TRUJILLO ALTO KM. 2.1",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-293-4641",
            "fax_number": "787-748-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK RADIOLOGY SERVICES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "BADILLO",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-293-4641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "12086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Veronica Jeffs-Gonzalez, M.D.
• Cristina Jimenez Aponte, MD
• Beatriz C Jimenez Mangual, PHARMD
• Gustavo Jimenez, PHARM. D.
• Maria Y Jimenez, ND
• Fernando Luis Joglar, DMD
• Namir E. Jordan, MS
• Jose Luis Serrano Montes, MD, CSP
• JRML Medical Services LLC
• Maria Del C Jurado, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.