Centro Radiologico Rolon Inc
Organization Active NPI Mammography Clinic/Center · Arecibo, PR
NPI 1558352005 · NPPES record last updated Jul 30, 2015
Key facts
- NPI
- 1558352005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mammography Clinic/Center 261QR0206X
- Legal business name
- CENTRO RADIOLOGICO ROLON INC
- Practice address
- HC 5 Box 93652
Barrio Hato Arriba
Arecibo, PR 00612-9610 - Phone
- (787) 879-0750
- Fax
- (787) 879-0772
- NPI assigned
- Nov 3, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Cesar A Del Valle Bugue
- Title
- Owner
- Phone
- (787) 879-0750
Practitioners 4
-
Uriel Camacho, M.D.
-
Yadira G Mateo, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160901001476 | PR | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1951294131 | Practice locations: Arecibo, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | |||
| Mammography Clinic/Center | 261QR0206X | Yes |
Addresses
Primary practice location
HC 5 Box 93652
Barrio Hato Arriba
Arecibo, PR 00612-9610
Mailing address
PO Box 142292
Arecibo, PR 00614-2292
Phone (787) 879-0750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0084911 | Other | PR | MEDICARE ID |
Other providers in Arecibo, PR
- Centro Psicoterapeutico Corp
- Centro Psiquiatrico Cibao, Inc
- Centro Quiropractico Allcare Health Rehabilitation P.S.C.
- Centro Radiologico Bague
- Centro Radiologico CDT Villa Los Santos
- Centro Terapeutico Estrella
- Centro Tratamiento Ambulatorio Drug Courts
- Centro Vacunacion Policlinica Familiar Factor
- Cesar a del Valle & Maite L Rolon
- Marjorie Cespedes
All providers in Arecibo, PR · Mammography Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.