Organization Active NPI

El Senorial Centro de Imagenes, LLC

  • Specialist
  • Rio Piedras, PR
National Provider Identifier
1114263118
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EL SENORIAL CENTRO DE IMAGENES, LLC
Practice address
1755 Calle Parana
Rio Piedras, PR 00926-6030
Phone
(787) 764-9493
Fax
(787) 759-3621
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Mr. Carlos M Perdomo Ferrer
Title
Owner
Phone
(787) 764-9493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1755 Calle Parana
Rio Piedras, PR 00926-6030

Mailing address

PO Box 367862
San Juan, PR 00936-7862
Phone (787) 764-9493

Other names 1

  • Same Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151222000098 PR Part B Supplier - Clinic/Group Practice 4385945104 Receives reassigned benefits from 5 practitioners
Practice locations: Rio Piedras, PR

National Provider Directory

National Provider Directory

Locations

1755 Calle Parana
San Juan, PR 00926
Phone (787) 764-3642

1755 Calle Parana
San Juan, PR 00926
Phone (787) 764-9493

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": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1114263118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367862",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367862",
            "telephone_number": "787-764-9493",
            "fax_number": "787-759-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 CALLE PARANA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "009266030",
            "telephone_number": "787-764-9493",
            "fax_number": "787-759-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SENORIAL CENTRO DE IMAGENES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "PERDOMO FERRER",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-764-9493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.