Individual provider Active NPI

Yuri Schoolov, MD

  • Neuroradiology Physician
  • Hato Rey, PR
National Provider Identifier
1114945771
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
15331 Issued in PR
Practice address
435 Ponce de Leon Ave
Hospital Pavia Hato Rey
Hato Rey, PR 00917
Phone
(787) 724-0106
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 15331 PR Primary

Addresses

Primary practice location

435 Ponce de Leon Ave
Hospital Pavia Hato Rey
Hato Rey, PR 00917

Mailing address

1 Washington St
Apt. 6-B
San Juan, PR 00907-1585
Phone (787) 724-0106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000022 PR Practitioner - Diagnostic Radiology 8729028873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Imagenes SonograficasGroup PAC ID 8921283771, 2 clinicians

Practice addresses (Care Compare)

29194 HC
Suite 2
San Lorenzo, PR 00754

Plaza Buxo Local
4B Carr 181 Int. 183
San Lorenzo, PR 00754
Phone (787) 736-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15331PRMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Imagenes Sonograficas CurrentSince Mar 20, 2011 Accepting new patients
Diagnostic Imaging Center, PSC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1114945771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "address_2": "APT. 6-B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071585",
            "telephone_number": "787-724-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PONCE DE LEON AVE",
            "address_2": "HOSPITAL PAVIA HATO REY",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-724-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOOLOV",
        "first_name": "YURI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "15331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.