Centro Imagen

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

CENTRO IMAGEN

Practice address

Carr 693 Suite 172
Bo Brenas
Vega Alta, PR 00692

Phone

(787) 270-4747

Fax

(787) 270-4747

NPI assigned

Sep 29, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

ANGELORUM, INCAs reported in NPPES

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

Authorized official

Name

Dr. Luis M. Gonzalez, MD

Title

President

Phone

(787) 270-4747

Specialties & licenses 1

Addresses

Tax ID family

Centro Imagen2 organizations share this tax ID, including this one

Part of

Centro Imagen

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angelorum Inc.

  • Community/Retail Pharmacy
  • Vega Alta, PR
  • NPI 1942366331
  NPD tax ID

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1154630812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920356",
            "telephone_number": "787-270-4747",
            "fax_number": "787-270-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 693 SUITE 172",
            "address_2": "BO BRENAS",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-4747",
            "fax_number": "787-270-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO IMAGEN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELORUM, INC",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-270-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Imagen
• Centro de Medicina Primaria VA
• Centro de Medicina Primaria VA
• Centro de Vacunacion del Norte LLC
• Centro Dr. Edwin F. Girau Nieves
• Centro Medicina Primaria Vega Alta
• Centro Medicina Primaria Vega Alta
• Centro Pediatrico Estrellita Dorada
• Centro Quiropractico de Vega Alta LLC
• Centro Radiologico Alondra

• Radiology Clinic/Center in Vega Alta, PR
• Providers in Vega Alta, 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 Sep 29, 2010; 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.