Active NPI
El Senorial Centro de Imagenes, LLC
- Specialist
- Rio Piedras, PR
National Provider Identifier
1114263118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Vascular & Interventional Radiology Physician
- San Juan, PR
- NPI 1720049711
PR
-
- Diagnostic Radiology Physician
- San Juan, PR
- NPI 1477504520
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
- Divina Presencia Hospice, Inc.
- Lisandris Marie Dominicci Torres
- Dr Jorge a Velazquez Y Asociados
- Dr Salvador Mercado Mercado CSP
- Dra. Eileen Ramirez Vilches C.S.P.
- Miguel A Eliza Garcia, 5396
- Empresas Hernandez Mercado Inc
- Enterl Life Ambulance, Corp
- Equipo Enfermeria Visitante
- Escuela de Odontologia
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.