Active NPI
Centro Radiologico Rolon Inc
- Mammography Clinic/Center
- Arecibo, PR
National Provider Identifier
1558352005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- 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
- Last updated
- Jul 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cesar A Del Valle Bugue
- Title
- Owner
- Phone
- (787) 879-0750
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | |||
| Mammography Clinic/Center | 261QR0206X | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Diagnostic Radiology Physician
- Corozal, PR
- NPI 1861696478
-
- Neuroradiology Physician
- Manati, PR
- NPI 1376500637
-
- Diagnostic Radiology Physician
- Hato Rey, PR
- NPI 1780603373
-
- Diagnostic Ultrasound Physician
- Ponce, PR
- NPI 1083611214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438214400000",
"number": "1558352005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142292",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006142292",
"telephone_number": "787-879-0750",
"fax_number": "787-879-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 5 BOX 93652",
"address_2": "BARRIO HATO ARRIBA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006129610",
"telephone_number": "787-879-0750",
"fax_number": "787-879-0772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO RADIOLOGICO ROLON INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2015-07-30",
"status": "A",
"authorized_official_last_name": "DEL VALLE BUGUE",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-879-0750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 (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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.