Centro Radiologico Luquillo PSC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CENTRO RADIOLOGICO LUQUILLO PSC

Practice address

Carr. 193 KM 1 Local 5
Playa Azul Center
Luquillo, PR 00773

Phone

(787) 889-2483

Fax

(787) 889-0432

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia V Jimenci Resa, RT

Title

Propietaria

Phone

(787) 889-2483

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144233305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB SUITE 418",
            "address_2": "CALL BOX 20,000",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-889-2483",
            "fax_number": "787-889-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 193 KM 1 LOCAL 5",
            "address_2": "PLAYA AZUL CENTER",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-889-2483",
            "fax_number": "787-889-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO LUQUILLO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIMENCI RESA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PROPIETARIA",
        "authorized_official_telephone_number": "787-889-2483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "051954",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narciso Reyes Carrillo, M.D
• Karelys Nicolle Carrion-Mujica, MS/SLP-CCC
• Ivelisse Castresana, PHARMD
• CDT Luquillo
• Centro Diagnostico Y Tratamiento Luquillo
• Clinica de Salud del Este
• Clinica de Salud del Este
• Clinica de Salud del Este
• Clinica de Salud del Este, Corp.
• Concilio de Salud Integral de Loiza, Inc.

• Radiology Clinic/Center in Luquillo, PR
• Providers in Luquillo, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.