NPIMap

Organization Active NPI

Galeria Radiologica Digital LLC

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1215347372
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
GALERIA RADIOLOGICA DIGITAL LLC
Practice address
Santa Cruz St. 64
Galeria Medica Suite 104
Bayamon, PR 00961-7001
Phone
(787) 269-2250
Fax
(787) 785-2229
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Mrs. Rayda N Hernandez Guasch, M.D.NPI 1396753208
Title
Owner/Radiologist
Phone
(787) 269-2250

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 1

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

Addresses

Primary practice location

Santa Cruz St. 64
Galeria Medica Suite 104
Bayamon, PR 00961-7001

Mailing address

PMB 525
89 Ave de Diego Suite 105
San Juan, PR 00927-5831
Phone (787) 269-2250

Other names 1

  • Galeria Radiologica Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619001574 PR Part B Supplier - Clinic/Group Practice 7416171186 Receives reassigned benefits from 6 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

64 Calle Santa Cruz
Ste 104
Bayamon, PR 00961
Phone (787) 269-2250

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1215347372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 525",
            "address_2": "89 AVE DE DIEGO SUITE 105",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275831",
            "telephone_number": "787-269-2250",
            "fax_number": "787-785-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA CRUZ ST. 64",
            "address_2": "GALERIA MEDICA SUITE 104",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617001",
            "telephone_number": "787-269-2250",
            "fax_number": "787-785-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALERIA RADIOLOGICA DIGITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ GUASCH",
        "authorized_official_first_name": "RAYDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/RADIOLOGIST",
        "authorized_official_telephone_number": "787-269-2250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galeria Radiologica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.