NPIMap

Organization Active NPI

Signet Puerto Rico

  • Nuclear Medicine Physician
  • Carolina, PR
National Provider Identifier
1316906175
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
137519 Issued in PR
Legal business name
SIGNET PUERTO RICO
Practice address
Ave Monserrate Ac-8 Valle Arriba Heights
Carolina, PR 00983
Phone
(787) 757-5985
Fax
(787) 776-0353
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Nivia Souffront
Title
Manager
Phone
(787) 757-5985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X 137519 PR Primary

Addresses

Primary practice location

Ave Monserrate Ac-8 Valle Arriba Heights
Carolina, PR 00983

Mailing address

PO Box 3457
Carolina, PR 00984-3457
Phone (787) 757-5985

Other names 1

  • Carolina Nuclear Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000478 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0244243053 Practice locations: Carolina, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Carolina Nuclear3 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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1316906175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3457",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843457",
            "telephone_number": "787-757-5985",
            "fax_number": "787-776-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MONSERRATE AC-8 VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-757-5985",
            "fax_number": "787-776-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNET PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "SOUFFRONT",
        "authorized_official_first_name": "NIVIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-757-5985"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "137519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Nuclear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.