Active NPI
Loiza Valley Mr & CT Center
- Diagnostic Radiology Physician
- Canovanas, PR
National Provider Identifier
1467933317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190626003072 | PR | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8426382318 | Practice locations: Canovanas, PR |
National Provider Directory
National Provider DirectoryLocations
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.