Puerto Rico Imaging SJ Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PUERTO RICO IMAGING SJ INC

Practice address

1 Res Jard Campo Rico # 877
Country Club
San Juan, PR 00924-3267

Phone

(787) 629-5280

Fax

(787) 629-5279

NPI assigned

Dec 15, 2008

Last updated

Jul 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis Lugo Medina, M.D.

Title

President, Owner

Phone

(787) 629-5280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1427293844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202A CALLE SAN JUSTO",
            "address_2": "SUITE 314",
            "city": "OLD SAN JUAN",
            "state": "PR",
            "postal_code": "009011711",
            "telephone_number": "727-629-5280",
            "fax_number": "787-629-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RES JARD CAMPO RICO # 877",
            "address_2": "COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243267",
            "telephone_number": "787-629-5280",
            "fax_number": "787-629-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO IMAGING SJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "LUGO MEDINA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "787-629-5280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.