Individual provider Active NPI

Carlos Balsalobre Alonso, MD

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1225027733
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11440 Issued in PR
Practice address
1815 Road No 2 KM 11.7
CT Radiology Complex
Bayamon, PR 00959-7279
Phone
(787) 780-9069
Fax
(787) 780-2121
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 11440 PR
Diagnostic Radiology Physician 2085R0202X 11440 PR Primary

Addresses

Primary practice location

1815 Road No 2 KM 11.7
CT Radiology Complex
Bayamon, PR 00959-7279

Mailing address

PO Box 602727
Bayamon, PR 00960-6037
Phone (787) 780-9069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000986 PR Practitioner - Diagnostic Radiology 0648169656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University Central del Caribe Escuela de Medicina, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CT Radiology Complex LLCGroup PAC ID 5597757526, 13 clinicians
Monserrate Imaging Center PSCGroup PAC ID 1759397516, 2 clinicians
CT Radiology Complex LLCGroup PAC ID 7810961737, 12 clinicians

Practice addresses (Care Compare)

1815 Carr
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-9069

Ave Paseo de Los Gigantes Valle Arrib
Ba25
Carolina, PR 00983
Phone (787) 762-3850

CT Radiology Building 1815 Rd
Suite 2
Bayamon, PR 00959-7279
Phone (787) 780-2121

Paseo de Los Gigantes
Ba25
Carolina, PR 00983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11440PRMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CT Radiology Complex, LLC Body Imaging CurrentSince Mar 24, 1999 Accepting new patients
GRP Med CT Radiology Complex CurrentSince Mar 24, 1999 Accepting new patients
Monserrate Imaging Center PSC Body Imaging CurrentSince Jun 20, 2003 Accepting new patients
Diagnostic Imaging Center, PSC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1225027733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602727",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606037",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 ROAD NO 2 KM 11.7",
            "address_2": "CT RADIOLOGY COMPLEX",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597279",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSALOBRE ALONSO",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "11440",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "11440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.