MMD Breast Imaging PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MMD BREAST IMAGING PSC

Doing business as

Vida Imaging & Breast Center

Practice address

Santa Cruz Medical Building, Suite 108
#73 Santa Cruz Street
Bayamon, PR 00961

Phone

(787) 785-8110

NPI assigned

Nov 9, 2022

Last updated

Apr 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mayra Maldonado, MDNPI 1841490059

Title

President

Phone

(787) 630-3116

Specialties & licenses 4

Addresses

Other names 1

• VIDA IMAGING & BREAST CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Tax ID family

MMD Breast Imaging PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Soc Rad Bayamon C T Center Corp

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1548377146
  NPD tax ID

Locations

Practitioners 6

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.

• Mayra Maldonado, MD

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1841490059
  Medicare reassignment Care Compare group NPD Authorized official
• Oscar Rafael Vazquez Ortiz, MD

  • Diagnostic Radiology Physician
  • Guayama, PR
  • NPI 1811384753
  Medicare reassignment Care Compare group NPD
• Juan F. Amador, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1811191182
  Medicare reassignment NPD
• Amanda Paola Marrero Gonzalez, MD

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1780085092
  Medicare reassignment NPD
• Edward Craig McBurney, M.D

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1518147628
  Medicare reassignment NPD
• Miguel Angel Roman, M.D.

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1548451487
  Medicare reassignment NPD

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1528776408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO SAN JUAN G23",
            "address_2": "CALLE ADOQUINES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266520",
            "telephone_number": "787-630-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTA CRUZ MEDICAL BUILDING, SUITE 108",
            "address_2": "#73 SANTA CRUZ STREET",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-785-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMD BREAST IMAGING PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-630-3116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDA IMAGING & BREAST CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marieli Miranda
• Wanda I. Miranda
• William Miranda, M.D.
• MJ New Life Medical Corp
• MLD Pain Management Inc.
• Moanes Medical Services LLC
• Karina Mojica Hernandez
• Waleska Mojica Rivera
• Sigrid C Mojica-Preciado, DMD
• Arodys Mojica

• Diagnostic Radiology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.