NPIMap

Organization Active NPI

Aguada Medical Center Inc.

  • Diagnostic Radiology Physician
  • Aguada, PR
National Provider Identifier
1174815948
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AGUADA MEDICAL CENTER INC.
Practice address
Carretera 115 Kilometro 24.5
Barrio Asomante
Aguada, PR 00602
Phone
(787) 589-7433
Fax
(787) 589-7434
NPI assigned
May 11, 2011
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Hiram J Ortega, MDNPI 1336125368
Title
Director Medico
Phone
(787) 589-7433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X PR Primary

Addresses

Primary practice location

Carretera 115 Kilometro 24.5
Barrio Asomante
Aguada, PR 00602

Mailing address

PO Box 90
Aguada, PR 00602-0090
Phone (787) 868-0345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111019000410 PR Part B Supplier - Clinic/Group Practice 0840462727 Receives reassigned benefits from 17 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aguada, PR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Aguada Medical Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 10

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": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1174815948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020090",
            "telephone_number": "787-868-0345",
            "fax_number": "787-868-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 115 KILOMETRO 24.5",
            "address_2": "BARRIO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-589-7433",
            "fax_number": "787-589-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGUADA MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "HIRAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR MEDICO",
        "authorized_official_telephone_number": "787-589-7433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.