GM Image Guided Medicine PSC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

16960 Issued in PR

Legal business name

GM IMAGE GUIDED MEDICINE PSC

Practice address

Carr 349 KM 2.7 Cerro Las Mesas
Mayaguez, PR 00680

Phone

(787) 652-6001

NPI assigned

May 22, 2014

Last updated

May 22, 2014By 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. Gabriel Oscar Monagas Pagan, M.D.

Title

President

Phone

(787) 652-6001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

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.

• Gabriel Oscar Monagas, M.D.

  • Vascular & Interventional Radiology Physician
  • Mayaguez, PR
  • NPI 1184895005
  Medicare reassignment
• Alexis Vera Quinones, MD

  • Family Medicine Physician
  • Moca, PR
  • NPI 1083742381
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1447662622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4499",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006814499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 349 KM 2.7 CERRO LAS MESAS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-652-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM IMAGE GUIDED MEDICINE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "MONAGAS PAGAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-652-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "16960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vascular & Interventional Radiology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Vascular & Interventional Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.