NPIMap

Organization Active NPI

Rio Grande Diagnostic CSP

  • Specialist
  • Rio Grande, PR
National Provider Identifier
1528022100
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIO GRANDE DIAGNOSTIC CSP
Practice address
Calle Principal # 57 Bo Palmer
Rio Grande, PR 00745
Phone
(787) 887-0555
Fax
(787) 887-0111
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Angel Ayra
Title
President
Phone
(787) 247-1693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

Calle Principal # 57 Bo Palmer
Rio Grande, PR 00745

Mailing address

Box 82 Bo. Palmer
Rio Grande Diagnostic, PR 00721
Phone (787) 887-0555

Other names 1

  • Rio Grande Diagnostic CSP Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528022100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 82 BO. PALMER",
            "city": "RIO GRANDE DIAGNOSTIC",
            "state": "PR",
            "postal_code": "00721",
            "telephone_number": "787-887-0555",
            "fax_number": "787-887-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PRINCIPAL # 57 BO PALMER",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-0555",
            "fax_number": "787-887-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE DIAGNOSTIC CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYRA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-247-1693",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Grande Diagnostic CSP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.