Centro Imagenes Radiologia Toa Alta

Key facts

NPI

1386940682

Entity type

Organization (NPI type 2)

Primary specialty

Radiology Clinic/Center 261QR0200X

License

2532 (PR)

Legal business name

CENTRO IMAGENES RADIOLOGIA TOA ALTA

Practice address

Urb. Villa Matilde
G21 Calle 10
Toa Alta, PR 00953-2322

Phone

(787) 870-7121

Fax

(787) 870-6382

NPI assigned

Feb 3, 2011

Organization subpart

Yes

Parent organization (as reported)

INCORPRATION

Authorized official

Name

Dr. Itza Doris Chevres, M.D. NPI 1669413720

Title

President

Phone

(787) 870-7121

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

• Itza Doris Chevres, M.D. General Practice Physician · Toa Alta, PR · NPI 1669413720
  NPD Authorized official
• Leychka Michelle Rodriguez, MD General Practice Physician · Corozal, PR · NPI 1669082640
  NPD
• Emerito Ventura Sr., MD General Practice Physician · Toa Alta, PR · NPI 1366491391
  NPD

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 11, 2023.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1386940682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540867",
            "telephone_number": "787-870-7134",
            "fax_number": "787-870-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA MATILDE",
            "address_2": "G21 CALLE 10",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532322",
            "telephone_number": "787-870-7121",
            "fax_number": "787-870-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO IMAGENES RADIOLOGIA TOA ALTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INCORPRATION",
        "enumeration_date": "2011-02-03",
        "last_updated": "2023-12-11",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "ITZA",
        "authorized_official_middle_name": "DORIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-870-7121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

• CDT Toa Alta Bo Pina
• CDT Toa Alta Pueblo
• Hector Luis Cedeno
• Centro de Vacunacion de Toa Alta
• Centro de Vacunacion Dr. Francisco de la Torre
• Centro Servicios de Salud Toa Alta
• Centro Servicios de Salud Toa Alta, LLC
• Centro Servicios de Salud Toa Alta, LLC
• Centro Servicios de Salud Toa Alta, LLC
• Centro Servicios de Salud Toa Alta, LLC

All providers in Toa Alta, PR · Radiology Clinic/Center in Puerto Rico