NPIMap

Organization Active NPI

San Juan Medical Imaging

  • Radiology Clinic/Center
  • San Juan, PR
National Provider Identifier
1467485581
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SAN JUAN MEDICAL IMAGING
Practice address
150 Ave de Diego
Suite 107
San Juan, PR 00907-2300
Phone
(787) 723-2442
Fax
(787) 721-8756
NPI assigned
Jul 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Enrique Gorbea Gonzalez, M.D.NPI 1538251384
Title
Neuroradiology
Phone
(787) 723-2442

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
Radiology Clinic/Center 261QR0200X PR Primary

Addresses

Primary practice location

150 Ave de Diego
Suite 107
San Juan, PR 00907-2300

Mailing address

PO Box 41203
Minillas Station
San Juan, PR 00940-1203
Phone (787) 723-2442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467485581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41203",
            "address_2": "MINILLAS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009401203",
            "telephone_number": "787-723-2442",
            "fax_number": "787-721-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO",
            "address_2": "SUITE 107",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-723-2442",
            "fax_number": "787-721-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORBEA GONZALEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "NEURORADIOLOGY",
        "authorized_official_telephone_number": "787-723-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.