Nuclear Radiology, CSP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NUCLEAR RADIOLOGY, CSP

Practice address

Hosp Auxilio Mutuo, 715 Ave Ponce de Leon, Pda 37 1/2
Edif Nino Divino Jesus, Centro Imagenes de la Mujer
Hato Rey, PR 00917

Phone

(787) 474-8878

Fax

(787) 771-7445

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rafael A Vaquer, MDNPI 1043244502

Title

President

Phone

(787) 474-8878

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 4

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

• Rafael Antonio Vaquer, M.D.

  • Diagnostic Radiology Physician
  • Hato Rey, PR
  • NPI 1043244502
  Medicare reassignment NPD Authorized official
• Moises Orlando Acevedo Vazquez, MD

  • Diagnostic Radiology Physician
  • Mayaguez, PR
  • NPI 1184602716
  Medicare reassignment NPD
• Iliana I Alvarez Ramirez, MD

  • Diagnostic Radiology Physician
  • Dorado, PR
  • NPI 1669412912
  Medicare reassignment NPD
• Carmen V Valderrabano, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1073508925

  PR

  Medicare reassignment NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1104030972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAN PASEOS BULEVAR",
            "address_2": "SUITE 112-137",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265905",
            "telephone_number": "787-474-8878",
            "fax_number": "787-771-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSP AUXILIO MUTUO, 715 AVE PONCE DE LEON, PDA 37 1/2",
            "address_2": "EDIF NINO DIVINO JESUS, CENTRO IMAGENES DE LA MUJER",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-474-8878",
            "fax_number": "787-771-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR RADIOLOGY, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "VAQUER",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-474-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "EC962A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Version Wellness Clinic
• Claribel Nieves, RN REGISTERED NURSE
• Magda Nogueras Arrillaga, O.D.
• Elizabeth Noriega de Quintero, MD
• Novis PR, Inc.
• Eduardo Ochoa-Bacallao, M.D.
• Nancy Ofarrill, REGISTERED NURSE
• Brenda Ojeda
• Ricardo Manuel Olazabal, M.D.
• Roberto Oliveras Marquez, MD

• Diagnostic Radiology Physician in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.