NPIMap

Organization Active NPI

Servicios Medicos del Valle de Lajas, Inc

  • Radiology Clinic/Center
  • Lajas, PR
National Provider Identifier
1114042926
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC
Practice address
237 Ave Los Veteranos
Lajas, PR 00667-2509
Phone
(787) 899-4242
Fax
(787) 899-8023
NPI assigned
Mar 20, 2007
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SERVICIOS MEDICOS DEL VALLE DE LAJAS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Roberto I Ruiz, MHSA
Title
President
Phone
(787) 899-4242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X PR
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

237 Ave Los Veteranos
Lajas, PR 00667-2509

Mailing address

PO Box 1715
Lajas, PR 00667-1715
Phone (787) 899-4242

Other names 1

  • Radiologia Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140625001138 PR Part B Supplier - Clinic/Group Practice 1254556764 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lajas, PR

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Servicios Medicos del Valle3 organizations share this tax ID, including this one
Part of
Servicios Medicos del Valle

Other organizations with this tax ID 2

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

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1114042926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1715",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006671715",
            "telephone_number": "787-899-4242",
            "fax_number": "787-899-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 AVE LOS VETERANOS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672509",
            "telephone_number": "787-899-4242",
            "fax_number": "787-899-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICIOS MEDICOS DEL VALLE DE LAJAS, INC",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-899-4242",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiologia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lajas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.