Patillas X-Ray

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PATILLAS X-RAY

Practice address

26 Calle Riefkohl
Patillas, PR 00723-2836

Phone

(787) 839-2777

NPI assigned

Feb 21, 2013

Organization subpart

Yes

Parent organization

GUAYAMA DIAGNOSTICS CSPAs reported in NPPES

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

Authorized official

Name

Mrs. Jeanninne Badillo Rivera, MD

Title

Owner/ Radiologist

Phone

(787) 839-2777

Specialties & licenses 1

Addresses

Part of

Guayama Diagnostics

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Guayama Diagnostics CSP

  • Radiology Clinic/Center
  • Guayama, PR
  • NPI 1265621551
  NPPES parent name

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1528308970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10007",
            "address_2": "SUITE 417",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007854007",
            "telephone_number": "787-839-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CALLE RIEFKOHL",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007232836",
            "telephone_number": "787-839-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATILLAS X-RAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUAYAMA DIAGNOSTICS CSP",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "BADILLO RIVERA",
        "authorized_official_first_name": "JEANNINNE",
        "authorized_official_title_or_position": "OWNER/ RADIOLOGIST",
        "authorized_official_telephone_number": "787-839-2777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Ortiz
• Mariely Nicole Ortiz, DMD
• Ruth Ortiz, RN
• Wanda Ortiz, PHARMACY TECHNICIAN
• Mirta Pabon, MSW
• Ivemilia Pedraza
• Luis A Pena Molina
• Gabriel J Perez Martinez, ENFERMERO
• Pro Salud Express, Inc.
• Jean Carlos Quinones Rivera, RN

• Radiology Clinic/Center in Patillas, PR
• Providers in Patillas, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.