Vascular Interventional Diagnostic Associates PSC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

VASCULAR INTERVENTIONAL DIAGNOSTIC ASSOCIATES PSC

Practice address

Guaynabo Medical Mall
Suite 208 B # 140 Avenida Las Cumbres
Guaynabo, PR 00966

Phone

(787) 705-8675

Fax

(787) 705-8676

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Nevelly Rodriguez

Title

Administrator

Phone

(787) 599-2166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1578801247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364164",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364164",
            "telephone_number": "787-705-8675",
            "fax_number": "787-705-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GUAYNABO MEDICAL MALL",
            "address_2": "SUITE 208 B # 140 AVENIDA LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-705-8675",
            "fax_number": "787-705-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR INTERVENTIONAL DIAGNOSTIC ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NEVELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-599-2166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Soami Vargas, PSY.D.
• Gabriel Andres Vargas
• Hector L Vargas, RPH
• Mairyn Vargas, MSW
• Raquel Vargas, MPT
• Mirta G Vasquez Salcido, MD
• Dianette L Vazquez Dueno, M.D
• Sebastian Jose Vazquez Folch, MEDICAL STUDENT
• Carlos J Vazquez Fonseca, 1289P
• Tanya N Vazquez Garcia, 1098B

• Radiology Clinic/Center in Guaynabo, PR
• Providers in Guaynabo, 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 Apr 18, 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.