Aguada Medical Center Inc.
Organization Active NPI Diagnostic Radiology Physician · Aguada, PR
NPI 1174815948 · NPPES record last updated Nov 3, 2020
Key facts
- NPI
- 1174815948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Hiram J Ortega, MD
- Title
- Director Medico
- Phone
- (787) 589-7433
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 5
Practitioners 9
-
Cesar F Cortes-Cardona, M.D.
-
Gabriela De la Vega Muns, M.D.
-
Juan P Juan Ramirez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Aguada Medical Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | PR | Yes |
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
Other providers in Aguada, PR
- Gladys Agront
- Joe D Agront
- Aguada Community Clinic
- Aguada Internal Medicine Service PSC
- Aguada Medical Center Care Club
- Aguada Medical Center Inc.
- Aguada Medical Center, Inc.
- Aguada Medical Center, Inc.
- Aguada Medical Center, Inc.
- Adriana Margarita Aguilar
All providers in Aguada, PR · Diagnostic Radiology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.