Organization Active NPI

Hato Tejas PSC

  • Mammography Clinic/Center
  • Bayamon, PR
National Provider Identifier
1528225547
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
HATO TEJAS PSC
Practice address
Carr 862 K M 2.7 Hato Tejas
Bayamon, PR 00958-0600
Phone
(787) 787-1946
Fax
(787) 787-3708
NPI assigned
May 19, 2008
Organization subpart
Yes
Parent organization
HATO TEJAS PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Maria E Hernandez
Title
Official
Phone
(787) 787-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

Carr 862 K M 2.7 Hato Tejas
Bayamon, PR 00958-0600

Mailing address

PO Box 3600
Bayamon, PR 00958-0600
Phone (787) 787-1946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080724000760 PR Part B Supplier - Clinic/Group Practice 7315010246 Receives reassigned benefits from 2 practitioners
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Part of
Hato Tejas PSC

Practitioners & affiliated clinicians

Practitioners 2

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1528225547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3600",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009580600",
            "telephone_number": "787-787-1946",
            "fax_number": "787-787-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 862 K M 2.7 HATO TEJAS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009580600",
            "telephone_number": "787-787-1946",
            "fax_number": "787-787-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATO TEJAS PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HATO TEJAS PSC",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "787-787-1946"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.