Organization Active NPI

Centro Radiologico de Caguas

  • Mammography Clinic/Center
  • Caguas, PR
National Provider Identifier
1487970984
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
14763 Issued in PR
Legal business name
CENTRO RADIOLOGICO DE CAGUAS
Practice address
Calle Munoz Rivera
Professional Center Building Suite 208
Caguas, PR 00725
Phone
(787) 744-4488
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Nancy C Devesa Mendez, MDNPI 1588736169
Title
Owner
Phone
(787) 342-9133

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
Mammography Clinic/Center 261QR0206X 14763 PR Primary

Addresses

Primary practice location

Calle Munoz Rivera
Professional Center Building Suite 208
Caguas, PR 00725

Mailing address

87 Bienteveo Street
Montehiedra
San Juan, PR 00926-9534
Phone (787) 342-9133

Other identifiers 1

IdentifierTypeStateIssuer
1588736169OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1487970984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BIENTEVEO STREET",
            "address_2": "MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269534",
            "telephone_number": "787-342-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MUNOZ RIVERA",
            "address_2": "PROFESSIONAL CENTER BUILDING SUITE 208",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-744-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO DE CAGUAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "DEVESA MENDEZ",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-342-9133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "14763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588736169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.