Organization Active NPI

Centro Imagenes Radiologia Toa Alta

  • Radiology Clinic/Center
  • Toa Alta, PR
National Provider Identifier
1386940682
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
2532 Issued in 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
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
INCORPRATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Dr. Itza Doris Chevres, M.D.NPI 1669413720
Title
President
Phone
(787) 870-7121

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 2532 PR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 867
Toa Alta, PR 00954-0867
Phone (787) 870-7134

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.