Individual provider Active NPI

Ivonne L Ojeda Boscana, M.D.

  • Diagnostic Radiology Physician
  • San Juan, PR
National Provider Identifier
1588782437
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9253 Issued in PR
Practice address
Administracion Servicios Medicos de Puerto Rico
RCM-Radiologia, Carr. 22, Bo. Monacillos
San Juan, PR 00935-0001
Phone
(787) 777-3535
Fax
(787) 777-3855
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9253 PR Primary

Addresses

Primary practice location

Administracion Servicios Medicos de Puerto Rico
RCM-Radiologia, Carr. 22, Bo. Monacillos
San Juan, PR 00935-0001

Mailing address

Recinto de Ciencias Medicas (Upr-RCM/Radiologia)
Edificio Principal RCM-Upr, P.O Box 29134
San Juan, PR 00929-0134
Phone (787) 777-3535

Other identifiers 2

IdentifierTypeStateIssuer
9253OtherPRPUERTO RICO MEDICAL LICENSE
9253OtherPRPUERTO RICO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9253PRMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1588782437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RECINTO DE CIENCIAS MEDICAS (UPR-RCM/RADIOLOGIA)",
            "address_2": "EDIFICIO PRINCIPAL RCM-UPR, P.O BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADMINISTRACION SERVICIOS MEDICOS DE PUERTO RICO",
            "address_2": "RCM-RADIOLOGIA, CARR. 22, BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA BOSCANA",
        "first_name": "IVONNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "9253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO MEDICAL LICENSE",
            "identifier": "9253",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO",
            "identifier": "9253",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 17, 2011; 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.