Organization Active NPI

Rio Grande Nuclear PSC

  • Nuclear Medicine Physician
  • Rio Grande, PR
National Provider Identifier
1447524236
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
Legal business name
RIO GRANDE NUCLEAR PSC
Practice address
13 Calle San Juan
Esq. del Carmen
Rio Grande, PR 00745-3015
Phone
(787) 887-7021
Fax
(787) 887-3115
NPI assigned
Feb 27, 2012
Organization subpart
Yes
Parent organization
CAPARRA CARDIOLOGY AND ELECTROPHYSIOLOGY CENTER PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Denis F Ruiz-Serrano, M.D.NPI 1508835869
Title
Owner
Phone
(787) 887-7055

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

13 Calle San Juan
Esq. del Carmen
Rio Grande, PR 00745-3015

Mailing address

PO Box 1569
Rio Grande, PR 00745-1569
Phone (787) 887-7055

Other identifiers 1

IdentifierTypeStateIssuer
120998OtherPRIAC ACCREDITATION

National Provider Directory

National Provider Directory
Part of
Caparra Cardiology and Electrophisiology Center PSC

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1447524236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1569",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007451569",
            "telephone_number": "787-887-7055",
            "fax_number": "787-887-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE SAN JUAN",
            "address_2": "ESQ. DEL CARMEN",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007453015",
            "telephone_number": "787-887-7021",
            "fax_number": "787-887-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE NUCLEAR PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPARRA CARDIOLOGY AND ELECTROPHYSIOLOGY CENTER PSC",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "RUIZ-SERRANO",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-887-7055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IAC ACCREDITATION",
            "identifier": "120998",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.