NPIMap

Organization Active NPI

Modern Radiology ,PSC

  • Radiology Clinic/Center
  • Coto Laurel, PR
National Provider Identifier
1457674939
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
4816 Issued in PR
Legal business name
MODERN RADIOLOGY ,PSC
Practice address
Torre Medica San Cristobal 5Ta Ave Oficina 109
Coto Laurel, PR 00780
Phone
(787) 843-1625
Fax
(787) 259-1117
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Gamalier Bermudez-Ruiz, MD
Title
President
Phone
(787) 843-1625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 4816 PR Primary

Addresses

Primary practice location

Torre Medica San Cristobal 5Ta Ave Oficina 109
Coto Laurel, PR 00780

Mailing address

PO Box 7346
Ponce, PR 00732-7346
Phone (787) 843-1625

National Provider Directory

National Provider Directory
Tax ID family
Modern Radiology PSC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1457674939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7346",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327346",
            "telephone_number": "787-843-1625",
            "fax_number": "787-259-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN CRISTOBAL 5TA AVE OFICINA 109",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-843-1625",
            "fax_number": "787-259-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RADIOLOGY ,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ-RUIZ",
        "authorized_official_first_name": "GAMALIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-843-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.