Organization Active NPI

Grupo Imagenes Radiologicas del Noroeste CSP

  • Diagnostic Radiology Physician
  • Mayaguez, PR
National Provider Identifier
1316189533
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5377 Issued in PR
Legal business name
GRUPO IMAGENES RADIOLOGICAS DEL NOROESTE CSP
Practice address
1 Calle Luis Estefani
Mayaguez, PR 00682-5926
Phone
(787) 658-0612
Fax
(787) 658-0612
NPI assigned
Apr 2, 2009
Last updated
May 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Moises Orlando Acevedo, M.D
Title
Director
Phone
(787) 658-0612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5377 PR Primary

Addresses

Primary practice location

1 Calle Luis Estefani
Mayaguez, PR 00682-5926

Mailing address

1 Calle Luis Estefani
Mayaguez, PR 00682-5926
Phone (787) 658-0612

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1316189533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CALLE LUIS ESTEFANI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006825926",
            "telephone_number": "787-658-0612",
            "fax_number": "787-658-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE LUIS ESTEFANI",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006825926",
            "telephone_number": "787-658-0612",
            "fax_number": "787-658-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO IMAGENES RADIOLOGICAS DEL NOROESTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "MOISES",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-658-0612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "5377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.