NPIMap

Organization Active NPI

Bella Vista Policlinic Inc

Doing business as Policlinic Radiology Department

  • Mammography Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1144514951
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
200394 Issued in PR
Legal business name
BELLA VISTA POLICLINIC INC
Doing business as
Policlinic Radiology Department
Practice address
Ave Hostos
Number 770
Mayaguez, PR 00682-6353
Phone
(787) 834-6161
Fax
(787) 834-4635
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BELLA VISTA POLICLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Mr. Enrique Rivera, MBA
Title
Cfo
Phone
(787) 834-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 200394 PR Primary

Addresses

Primary practice location

Ave Hostos
Number 770
Mayaguez, PR 00682-6353

Mailing address

Ave Hostos
Number 770
Mayaguez, PR 00682-6353
Phone (787) 834-6161

Other names 1

  • Policlinic Radiology Department Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GRP Policlin Bella Vista4 organizations share this tax ID, including this one
Part of
GRP Policlin Bella Vista

Other organizations with this tax ID 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1144514951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "NUMBER 770",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-834-6161",
            "fax_number": "787-834-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "NUMBER 770",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-834-6161",
            "fax_number": "787-834-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA POLICLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLA VISTA POLICLINIC",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "787-834-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "200394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Policlinic Radiology Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.