Organization Active NPI

National Advanced Diagnostic Imaging Sub-Specialists

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1538324462
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NATIONAL ADVANCED DIAGNOSTIC IMAGING SUB-SPECIALISTS
Practice address
Urb Las Cumbres 497 Emiliano Pol
PMB 283
San Juan, PR 00926-5636
Phone
(816) 309-2266
Fax
(787) 283-1173
NPI assigned
Jul 21, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Jorge A Vidal, M.D.
Title
President
Phone
(816) 309-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

Urb Las Cumbres 497 Emiliano Pol
PMB 283
San Juan, PR 00926-5636

Mailing address

Urb Las Cumbres 497 Emiliano Pol
PMB 283
San Juan, PR 00926-5636
Phone (816) 309-2266

Other names 1

  • NADISS 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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1538324462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS CUMBRES 497 EMILIANO POL",
            "address_2": "PMB 283",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265636",
            "telephone_number": "816-309-2266",
            "fax_number": "787-283-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB LAS CUMBRES 497 EMILIANO POL",
            "address_2": "PMB 283",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265636",
            "telephone_number": "816-309-2266",
            "fax_number": "787-283-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ADVANCED DIAGNOSTIC IMAGING SUB-SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "VIDAL",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-309-2266",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NADISS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

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