NPIMap

Organization Active NPI

Centro de Diagnostico Y Tratamiento de San Sebastian Inc

Doing business as Grupo Radiologico Centro Medicina

  • Diagnostic Radiology Physician
  • San Sebastian, PR
National Provider Identifier
1063694453
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC
Doing business as
Grupo Radiologico Centro Medicina
Practice address
3 Jose Mendez Cardona Ave
San Sebastian, PR 00685
Phone
(787) 896-1850
Fax
(787) 280-9497
NPI assigned
Nov 28, 2007
Last updated
Feb 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Eduardo Rodriguez VazquezNPI 1457395683
Title
President
Phone
(787) 896-1850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

3 Jose Mendez Cardona Ave
San Sebastian, PR 00685

Mailing address

PO Box 486
San Sebastian, PR 00685-0486
Phone (787) 896-1850

Other names 1

  • GRUPO RADIOLOGICO CENTRO MEDICINA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000095 PR Part B Supplier - Clinic/Group Practice 7315924933 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Sebastian, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Centro de Medicina Y Ci9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1063694453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850486",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JOSE MENDEZ CARDONA AVE",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "787-896-1850",
            "fax_number": "787-280-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ VAZQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-896-1850"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO RADIOLOGICO CENTRO MEDICINA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.