Organization Active NPI

Myrna Diaz

  • Radiology Clinic/Center
  • Aguada, PR
National Provider Identifier
1225384647
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MYRNA DIAZ
Doing business as
Centro Radiologico Aguada
Practice address
272 Calle Marina
Aguada, PR 00602-2956
Phone
(787) 868-4593
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Dr. Myrna Diaz, 7878684593
Title
Owner
Phone
(787) 868-4593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X PR Primary

Addresses

Primary practice location

272 Calle Marina
Aguada, PR 00602-2956

Mailing address

PO Box 579
Mayaguez, PR 00681-0579

Other names 1

  • Centro Radiologico Aguada Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Radiologico Aguada2 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.

Locations

272 Calle Marina
Aguada, PR 00602
Phone (787) 868-0732

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1225384647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CALLE MARINA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022956",
            "telephone_number": "787-868-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-868-4593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "7878684593"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Radiologico Aguada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.