NPIMap

Organization Active NPI

Eden E E

  • Radiology Clinic/Center
  • Naranjito, PR
National Provider Identifier
1295117018
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
EDEN E E
Practice address
Carr 164 KM 7.7
Centro Com Jardines de Naranjito
Naranjito, PR 00719
Phone
(787) 869-9500
Fax
(787) 869-5656
NPI assigned
Jun 29, 2015
Last updated
Jun 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Authorized official

Name
Edmarie De LeonNPI 1417107665
Title
President
Phone
(787) 869-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

Carr 164 KM 7.7
Centro Com Jardines de Naranjito
Naranjito, PR 00719

Mailing address

PO Box 1345
PMB 293
Toa Alta, PR 00954
Phone (787) 869-9500

National Provider Directory

National Provider Directory
Tax ID family
Eden E E2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1295117018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1345",
            "address_2": "PMB 293",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-869-9500",
            "fax_number": "787-869-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 164 KM 7.7",
            "address_2": "CENTRO COM JARDINES DE NARANJITO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "00719",
            "telephone_number": "787-869-9500",
            "fax_number": "787-869-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN E E",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "EDMARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-869-9500"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.