Individual provider Active NPI

Jose T. Medina-Tollinche, MD

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1316931892
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1564 Issued in PR
Practice address
1815 Road #2 KM 11.7
Bayamon, PR 00959-7279
Phone
(787) 780-9069
Fax
(787) 780-2121
NPI assigned
Sep 9, 2005
Last updated
Apr 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 1564 PR
Diagnostic Radiology Physician 2085R0202X 1564 PR Primary

Addresses

Primary practice location

1815 Road #2 KM 11.7
Bayamon, PR 00959-7279

Mailing address

PO Box 602727
Bayamon, PR 00960-6037
Phone (787) 780-9069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8697PRMDPsychologist
1564PRMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MD Radiology Services PSC Past Accepting new patients
MD Radiological Services, PSC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554508800000",
    "number": "1316931892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602727",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606037",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 ROAD #2 KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597279",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-TOLLINCHE",
        "first_name": "JOSE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2019-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "1564",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; 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.