Active NPI
Jakob R Salom, CNMT, RT (N)
- Nuclear Medicine Technology Radiologic Technologist
- San Juan, PR
National Provider Identifier
1407093776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- CRT72895
- Practice address
- 1409 Ave Ashford
San Juan, PR 00907-1435 - Phone
- (787) 721-7979
- NPI assigned
- Jan 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | CRT72895 | FL | Primary |
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | 0892 | PR |
Addresses
Primary practice location
1409 Ave Ashford
San Juan, PR 00907-1435
Mailing address
1303 Ave Magdalena Apt 803
San Juan, PR 00907-1917
Phone (787) 217-5141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT72895 | FL | MD | Nuclear Medicine Technology Radiologic Technologist |
| 0892 | PR | MD | Nuclear Medicine Technology Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Tomografico de PR Inc | Past | Accepting new patients | |
| Molecular Imaging PSC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1992862528
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1215225727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231372800000",
"number": "1407093776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 AVE MAGDALENA APT 803",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071917",
"telephone_number": "787-217-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 AVE ASHFORD",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071435",
"telephone_number": "787-721-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOM",
"first_name": "JAKOB",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "CNMT, RT (N)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "FL",
"license": "CRT72895",
"primary": true
},
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "PR",
"license": "0892",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.