Organization Active NPI

Centro Radiologico Bague

  • Mammography Clinic/Center
  • Arecibo, PR
National Provider Identifier
1346595980
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
292824 Issued in PR
Legal business name
CENTRO RADIOLOGICO BAGUE
Practice address
Carr 681 # KM4.4
Sector Piquina Bo Islote
Arecibo, PR 00612-5313
Phone
(787) 817-0494
Fax
(787) 817-0494
NPI assigned
Jul 19, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Mrs. Angela M Roman
Title
Facturadora
Phone
(787) 817-0494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 292824 PR Primary

Addresses

Primary practice location

Carr 681 # KM4.4
Sector Piquina Bo Islote
Arecibo, PR 00612-5313

Mailing address

PO Box 141348
Arecibo, PR 00614-1348
Phone (787) 817-0494

Other identifiers 1

IdentifierTypeStateIssuer
292824OtherPRREGISTRO

National Provider Directory

National Provider Directory
Tax ID family
Centro Radiologico Bague2 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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1346595980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141348",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141348",
            "telephone_number": "787-817-0494",
            "fax_number": "787-817-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 681 # KM4.4",
            "address_2": "SECTOR PIQUINA BO ISLOTE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125313",
            "telephone_number": "787-817-0494",
            "fax_number": "787-817-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO BAGUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FACTURADORA",
        "authorized_official_telephone_number": "787-817-0494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "292824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRO",
            "identifier": "292824",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.