NPIMap

Organization Active NPI

Signet Puerto Rico

Doing business as San Juan MRI & CT

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Santurce, PR
National Provider Identifier
1508892159
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
13263 Issued in PR
Legal business name
SIGNET PUERTO RICO
Doing business as
San Juan MRI & CT
Practice address
1448 Ave Fernandez Juncos
Santurce, PR 00909-2655
Phone
(787) 721-7776
Fax
(787) 721-7774
NPI assigned
Jun 24, 2006
Last updated
Jul 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Authorized official

Name
Ms. Nivia Souffront
Title
Authorized Representative
Phone
(787) 721-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 13263 PR Primary

Addresses

Primary practice location

1448 Ave Fernandez Juncos
Santurce, PR 00909-2655

Mailing address

1448 Ave Fernandez Juncos
Santurce, PR 00909-2655
Phone (787) 721-7776

Other names 1

  • San Juan MRI & CT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060721000179 PR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0244243053 Practice locations: San Juan, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Carolina Nuclear3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, 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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1508892159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 AVE FERNANDEZ JUNCOS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092655",
            "telephone_number": "787-721-7776",
            "fax_number": "787-721-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 AVE FERNANDEZ JUNCOS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092655",
            "telephone_number": "787-721-7776",
            "fax_number": "787-721-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNET PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "SOUFFRONT",
        "authorized_official_first_name": "NIVIA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "787-721-7776",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PR",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan MRI & CT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.