NPIMap

Organization Active NPI

Mediko Imaging Inc.

  • Radiology Clinic/Center
  • Juncos, PR
National Provider Identifier
1376659631
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MEDIKO IMAGING INC.
Practice address
Urb. Valencia II Calle Casul
#52
Juncos, PR 00777
Phone
(787) 734-2552
Fax
(787) 734-0688
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Abner Gonzalez Costas
Title
Administrator
Phone
(787) 743-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

Urb. Valencia II Calle Casul
#52
Juncos, PR 00777

Mailing address

PO Box 8729
Caguas, PR 00726-8729
Phone (787) 743-1563

Other names 1

  • Mediko Imaging Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mediko Imaging Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1376659631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8729",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268729",
            "telephone_number": "787-743-1563",
            "fax_number": "787-745-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VALENCIA II CALLE CASUL",
            "address_2": "#52",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "00777",
            "telephone_number": "787-734-2552",
            "fax_number": "787-734-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIKO IMAGING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ COSTAS",
        "authorized_official_first_name": "ABNER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-743-1563"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mediko Imaging Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Juncos, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.