NPIMap

Organization Active NPI

Stereotactic Breast Center PSC

  • Ambulatory Surgical Clinic/Center
  • Bayamon, PR
National Provider Identifier
1407850738
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STEREOTACTIC BREAST CENTER PSC
Practice address
Bayamon Medical PLZ
Ste 201
Bayamon, PR 00959-7200
Phone
(787) 740-3500
Fax
(787) 995-6887
NPI assigned
Jun 1, 2005
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Ms. Zenaida Mendez Rivera, M.D.NPI 1912909102
Title
President
Phone
(787) 740-2120

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

Bayamon Medical PLZ
Ste 201
Bayamon, PR 00959-7200

Mailing address

P. O. Box 9003
Bayamon, PR 00960-8038
Phone (787) 740-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000093 PR Part B Supplier - Clinic/Group Practice 8325221955 Receives reassigned benefits from 7 practitioners
Practice locations: Bayamon, PR; Fajardo, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1407850738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 9003",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608038",
            "telephone_number": "787-740-3500",
            "fax_number": "787-995-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLZ",
            "address_2": "STE 201",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597200",
            "telephone_number": "787-740-3500",
            "fax_number": "787-995-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEREOTACTIC BREAST CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ RIVERA",
        "authorized_official_first_name": "ZENAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-740-2120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.