Mge Radiology LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MGE RADIOLOGY LLC

Practice address

107 Calle Comercio
Juana Diaz, PR 00795-1646

Phone

(787) 837-3285

NPI assigned

Feb 3, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miguel Gabriel Echevarria Quintana, MD

Title

Physician

Phone

(787) 505-4136

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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.

• Miguel Gabriel Echevarria, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1174839179
  Medicare reassignment NPD
• Miguel Angel Echevarria Rodriguez, MD

  • Diagnostic Radiology Physician
  • Ponce, PR
  • NPI 1447345376
  NPD (past)

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1346831179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 AVE MUNOZ RIVERA APT 2807",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181661",
            "telephone_number": "787-505-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE COMERCIO",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951646",
            "telephone_number": "787-837-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGE RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA QUINTANA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "787-505-4136",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174839179",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Niret Melendez de Jesus, LND
• Joshua Oneil Melendez Sr.
• Karilma Melendez, PHD
• Rita Milagros Mercado Aponte, PSY.D
• Sonia N Mercado Cruz, MT (ASCP)
• Eddie William Millan Carrero, PH. D.
• Yariliz Ariane Miranda
• Maria Waleska Mirandes, PSY D
• Yazmin M Mojica-Arroyo, MD
• Javier Andre Morales Cintron, PSYD

• Diagnostic Radiology Physician in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.