Organization Active NPI

Loiza Valley Mr & CT Center

  • Diagnostic Radiology Physician
  • Canovanas, PR
National Provider Identifier
1467933317
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LOIZA VALLEY MR & CT CENTER
Practice address
Loiza Valley Shopping Center
Local Aa4
Canovanas, PR 00729
Phone
(787) 954-9389
NPI assigned
Aug 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Miss Cristina M. Alvarez Rodriguez, BA
Title
Manager
Phone
(787) 954-9389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

Loiza Valley Shopping Center
Local Aa4
Canovanas, PR 00729

Mailing address

4Aa Calle Bahuinia
Urb. Loiza Valley
Canovanas, PR 00729-3551
Phone (787) 945-0328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190626003072 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8426382318 Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory

Locations

AA4 Calle Bauhinia
Canovanas, PR 00729
Phone (787) 954-9389

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1467933317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4AA CALLE BAHUINIA",
            "address_2": "URB. LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293551",
            "telephone_number": "787-945-0328",
            "fax_number": "786-364-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOIZA VALLEY SHOPPING CENTER",
            "address_2": "LOCAL AA4",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-954-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIZA VALLEY MR & CT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ RODRIGUEZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-954-9389",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.