NPIMap

Organization Active NPI

Mediko Imaging Inc.

Doing business as Mediko Imaging Inc. Humacao

  • Diagnostic Radiology Physician
  • Humacao, PR
National Provider Identifier
1235608514
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MEDIKO IMAGING INC.
Doing business as
Mediko Imaging Inc. Humacao
Practice address
Calle Victoria #12
Barrio Tejas
Humacao, PR 00791
Phone
(787) 743-1563
NPI assigned
Nov 16, 2018
Last updated
Nov 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Mr. Abner Gonzalez Costas Sr.
Title
Administrator
Phone
(787) 403-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

Calle Victoria #12
Barrio Tejas
Humacao, PR 00791

Mailing address

PO Box 8729
Caguas, PR 00726-8729
Phone (787) 743-1563

Other names 1

  • Mediko Imaging Inc. Humacao Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Serv Rad del Est San Lo5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1235608514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8729",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268729",
            "telephone_number": "787-743-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE VICTORIA #12",
            "address_2": "BARRIO TEJAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-743-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIKO IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ COSTAS",
        "authorized_official_first_name": "ABNER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-403-4787",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mediko Imaging Inc. Humacao",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.