NPIMap

Organization Active NPI

Gold Star Medical LLC

  • Body Imaging Physician
  • Hormigueros, PR
National Provider Identifier
1194502567
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
GOLD STAR MEDICAL LLC
Practice address
2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737
Phone
(787) 673-1238
NPI assigned
Sep 11, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Authorized official

Name
Shahid M Chaudhary, MDNPI 1932187499
Title
Medical Director
Phone
(787) 673-1238

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
Body Imaging Physician 2085B0100X Primary

Addresses

Primary practice location

2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737

Mailing address

2 Ave Luis Munoz Marin
Hormigueros, PR 00660-1737
Phone (787) 673-1238

National Provider Directory

National Provider Directory
Tax ID family
Gold Star Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1194502567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AVE LUIS MUNOZ MARIN",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601737",
            "telephone_number": "787-673-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE LUIS MUNOZ MARIN",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006601737",
            "telephone_number": "787-673-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STAR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAUDHARY",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-673-1238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hormigueros, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.