NPIMap

Organization Active NPI

Montehiedra CT & MRI Center LLC.

  • Radiology Clinic/Center
  • San Juan, PR
National Provider Identifier
1093820086
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MONTEHIEDRA CT & MRI CENTER LLC.
Doing business as
Montehiedra MRI & CT Center
Practice address
9484 Ave Los Romero
Ste 205
San Juan, PR 00926-7009
Phone
(787) 708-5000
Fax
(787) 708-5010
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Nayvette M Ruiz Vega
Title
Gerente
Phone
(787) 362-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

9484 Ave Los Romero
Ste 205
San Juan, PR 00926-7009

Mailing address

9484 Ave Los Romero
Ste 205
San Juan, PR 00926-7009
Phone (787) 708-5000

Other identifiers 1

IdentifierTypeStateIssuer
39013000MedicaidPR

Other names 1

  • Montehiedra MRI & CT Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000162 PR Part B Supplier - Clinic/Group Practice 0749297117 Receives reassigned benefits from 3 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Montehiedra CT and MRI Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9484 Ave Los Romeros
Ste 205
San Juan, PR 00926
Phone (787) 249-8009

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1093820086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9484 AVE LOS ROMERO",
            "address_2": "STE 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267009",
            "telephone_number": "787-708-5000",
            "fax_number": "787-708-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 AVE LOS ROMERO",
            "address_2": "STE 205",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267009",
            "telephone_number": "787-708-5000",
            "fax_number": "787-708-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEHIEDRA CT & MRI CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "RUIZ VEGA",
        "authorized_official_first_name": "NAYVETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GERENTE",
        "authorized_official_telephone_number": "787-362-4003"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39013000",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montehiedra MRI & CT Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.