NPIMap

Organization Active NPI

CDT Maricao Medical Center LLC

  • Radiology Clinic/Center
  • Maricao, PR
National Provider Identifier
1235536640
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
SALUD RADIOLOGICA PR Issued in PR
Legal business name
CDT MARICAO MEDICAL CENTER LLC
Practice address
Ave. Luchetti Numero 9
Maricao, PR 00606
Phone
(787) 940-4685
NPI assigned
Dec 1, 2014
Last updated
Dec 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Dr. Edrick Ramirez
Title
President
Phone
(787) 940-4685

Specialties & licenses 1

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

Addresses

Primary practice location

Ave. Luchetti Numero 9
Maricao, PR 00606

Mailing address

Ave Luchetti Numero 9
Maricao, PR 00606
Phone (787) 940-4685

National Provider Directory

National Provider Directory
Tax ID family
CDT Maricao Medical Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1235536640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE LUCHETTI NUMERO 9",
            "city": "MARICAO",
            "state": "PR",
            "postal_code": "00606",
            "telephone_number": "787-940-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LUCHETTI NUMERO 9",
            "city": "MARICAO",
            "state": "PR",
            "postal_code": "00606",
            "telephone_number": "787-940-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDT MARICAO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "EDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-940-4685",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "SALUD RADIOLOGICA PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.