Vega Baja Imaging LLC
Organization Active NPI Diagnostic Radiology Physician · Vega Baja, PR
NPI 1265458558 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1265458558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- VEGA BAJA IMAGING LLC
- Practice address
- 3998 Carr 2
Vega Baja, PR 00693-4140 - Phone
- (787) 855-2687
- Fax
- (787) 858-8299
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Jose Rossello Camacho
- Title
- Presidente
- Phone
- (787) 966-3882
Practitioners 6
-
Armando L Bonnet-Mercier, M.D.
-
Uriel Camacho, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050804001034 | PR | Part B Supplier - Clinic/Group Practice | 0244269744 |
Receives reassigned benefits from 2 practitioners Practice locations: Vega Baja, PR |
National Provider Directory
Locations
3998 Carr 2
Ste 2
Vega Baja, PR 00693
Phone (787) 855-2687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Diagnostic Ultrasound Physician |
2085U0001X | |||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
3998 Carr 2
Vega Baja, PR 00693-4140
Mailing address
3998 Carr 2
Vega Baja, PR 00693-4140
Phone (787) 855-2687
Other providers in Vega Baja, PR
- Aracelis Vargas Leyro
- Nestor L Vazquez
- Noemi Vazquez
- Vega Baja Community Health
- Vega Baja Community Health
- Vega Baja Imaging LLC
- Vega Baja Medical Group Inc
- Vega Baja Medical Services Inc.
- Vega Baja Radiology Center LLC
- Vega Baja Radiology PSC
All providers in Vega Baja, PR · Diagnostic Radiology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.