NPIMap

Organization Active NPI

Metropolitan MRI Associates PSC

  • Neuroradiology Physician
  • San Juan, PR
National Provider Identifier
1174522411
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
12455 Issued in PR
Legal business name
METROPOLITAN MRI ASSOCIATES PSC
Practice address
2 Carr 21
Urb. Las Lomas
San Juan, PR 00921-4517
Phone
(787) 781-0058
Fax
(787) 782-9971
NPI assigned
Jul 19, 2005
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Mrs. Vilma M Vargas, M.D.NPI 1245273481
Title
President
Phone
(787) 781-0058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 13249 PR
Neuroradiology Physician 2085N0700X 12455 PR Primary

Addresses

Primary practice location

2 Carr 21
Urb. Las Lomas
San Juan, PR 00921-4517

Mailing address

PMB 346
405 Esmeralda Ave Suite 2
Guaynabo, PR 00969
Phone (787) 781-0058

Other identifiers 2

IdentifierTypeStateIssuer
582599602OtherPRCIGNA
84690OtherPRSSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080227000717 PR Part B Supplier - Clinic/Group Practice 9335223494 Receives reassigned benefits from 3 practitioners
Practice locations: Carolina, PR; San Juan, PR

National Provider Directory

National Provider Directory
Tax ID family
Metropolitan MRI Assoc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1174522411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 346",
            "address_2": "405 ESMERALDA AVE SUITE 2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-781-0058",
            "fax_number": "787-782-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CARR 21",
            "address_2": "URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214517",
            "telephone_number": "787-781-0058",
            "fax_number": "787-782-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN MRI ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-781-0058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "13249",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "12455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "582599602",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "84690",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.

Verify at the official NPI Registry.