NPIMap

Organization Active NPI

Imaging & Radiology Advocates PSC

  • Neuroradiology Physician
  • Aguadilla, PR
National Provider Identifier
1184664633
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
13,022 Issued in PR
Legal business name
IMAGING & RADIOLOGY ADVOCATES PSC
Practice address
Hospital Buen Samaritano
Dept. Radiologia Oficina de Radiologos
Aguadilla, PR 00605-0363
Phone
(787) 903-0033
Fax
(787) 524-7400
NPI assigned
Jun 6, 2006
Last updated
Nov 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Authorized official

Name
Dr. Saul Cordero Calero, M.D.
Title
President / Neuroradiologo
Phone
(787) 469-8981

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085N0700X 13,022 PR Primary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X 13,022 PR
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X 13,022 PR
Radiology Clinic/Center 261QR0200X 13,022 PR

Addresses

Primary practice location

Hospital Buen Samaritano
Dept. Radiologia Oficina de Radiologos
Aguadilla, PR 00605-0363

Mailing address

PO Box 123
Isabela, PR 00662-0123
Phone (787) 903-0033

Other identifiers 2

IdentifierTypeStateIssuer
FW332ZOtherPRMEDICARE PTAN
2,886OtherPRNUMERO DEPARTAMENTO DE ESTADO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1184664633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006620123",
            "telephone_number": "787-903-0033",
            "fax_number": "787-524-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL BUEN SAMARITANO",
            "address_2": "DEPT. RADIOLOGIA OFICINA DE RADIOLOGOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050363",
            "telephone_number": "787-903-0033",
            "fax_number": "787-524-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGING & RADIOLOGY ADVOCATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "CALERO",
        "authorized_official_first_name": "SAUL",
        "authorized_official_middle_name": "CORDERO",
        "authorized_official_title_or_position": "PRESIDENT / NEURORADIOLOGO",
        "authorized_official_telephone_number": "787-469-8981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "13,022",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "13,022",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "13,022",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "13,022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "FW332Z",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMERO DEPARTAMENTO DE ESTADO",
            "identifier": "2,886",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.