Ponce Diagnostic Radiology Center CSP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

11424 Issued in PR

Legal business name

PONCE DIAGNOSTIC RADIOLOGY CENTER CSP

Practice address

2435 Ave Las Americas Hosp Dr Pila
Radilogy Department
Ponce, PR 00733

Phone

(787) 843-9320

Fax

(787) 843-9320

NPI assigned

Mar 1, 2007

Organization subpart

No

Name

Victor A Berdecia, MD

Title

Partner

Phone

(787) 843-9320

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

• Victor A Berdecia Perez, MD

  • Diagnostic Radiology Physician
  • Ponce, PR
  • NPI 1710019153

  Diagnostic Radiology

  NPD (past)
• Ramiro Milan Garces, MD

  • Diagnostic Radiology Physician
  • Ponce, PR
  • NPI 1801928247

  Diagnostic Radiology

  NPD (past)

• Sociedad Radiologica del Caribe Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2008.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1508994864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801143",
            "telephone_number": "787-843-9320",
            "fax_number": "787-843-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 AVE LAS AMERICAS HOSP DR PILA",
            "address_2": "RADILOGY DEPARTMENT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00733",
            "telephone_number": "787-843-9320",
            "fax_number": "787-843-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE DIAGNOSTIC RADIOLOGY CENTER CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "BERDECIA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-843-9320",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "11424",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "11442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sociedad Radiologica del Caribe",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ponce Clinical Laboratory, Inc.
• Ponce Clinical Laboratory, Inc.
• Ponce Clinical Laboratory, Inc.
• Ponce Conductual
• Ponce Dental Group
• Ponce Eye Med Institute LCC
• Ponce Gastroenterology Society
• Ponce Health Center, LLC
• Ponce Health Sciences University
• Ponce Hematology Oncology P.S.C.

• All providers in Ponce, PR
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.