Manuel Medina

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MANUEL MEDINA

Doing business as

Advanced MRI & CT Institute

Practice address

Road PR-2 Marginal D-10
Urb. Villa Real
Vega Baja, PR 00694

Phone

(787) 807-0900

Fax

(787) 855-2729

NPI assigned

May 15, 2024

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH WESTERN RADIOLOGY SERVICES PSCAs reported in NPPES

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

Authorized official

Name

Mrs. Mariely Gonzalez

Title

Office Administrator

Phone

(787) 607-1591

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced MRI & CT Institute Doing business as

Part of

South Western Radiology Services PSC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Western Radiology Services PSC

  dba Advanced MRI & CT Institute

  • Radiology Clinic/Center
  • Vega Baja, PR
  • NPI 1780652594
  NPPES parent name

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1073362760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941498",
            "telephone_number": "787-807-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD PR-2 MARGINAL D-10",
            "address_2": "URB. VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00694",
            "telephone_number": "787-807-0900",
            "fax_number": "787-855-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL MEDINA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH WESTERN RADIOLOGY SERVICES PSC",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIELY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "787-607-1591",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780652594",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced MRI & CT Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Idolia Luna, MD
• Yolanda Luna
• Issa Mahmud, MD
• Brenda E Maldonado Berrios
• Camille Maldonado
• Luz Maria Marcano
• Vicotr Julio Mariano Mercedes, M.D.
• Keyla Mariano-Mejia
• Randy Omar Marquez Caban, M.D.
• Yamil Marrero Cordova

• Radiology Clinic/Center in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.