NPIMap

Organization Active NPI

GRP Med CT Radiology Complex

Doing business as CT Radiology Complex LLC

  • Cardiovascular Disease Physician
  • Bayamon, PR
National Provider Identifier
1609083377
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
GRP MED CT RADIOLOGY COMPLEX
Doing business as
CT Radiology Complex LLC
Practice address
1815 Carr. #2
CT Radiology Bulding
Bayamon, PR 00959-7279
Phone
(787) 780-9069
Fax
(787) 780-2121
NPI assigned
May 16, 2007
Last updated
Dec 28, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CT RADIOLOGY COMPLEX LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Mrs. Noriselle Z Rivera Pol
Title
Finance VP
Phone
(787) 621-3724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X PR Primary

Addresses

Primary practice location

1815 Carr. #2
CT Radiology Bulding
Bayamon, PR 00959-7279

Mailing address

PO Box 602727
Bayamon, PR 00960-6037
Phone (787) 780-9069

Other identifiers 1

IdentifierTypeStateIssuer
S80101OtherPRTRIPLE

Other names 1

  • CT RADIOLOGY COMPLEX LLC Doing business as

National Provider Directory

National Provider Directory
Part of
GRP Med CT Radiology Complex

Locations

1815 Carr 2
Bayamon, PR 00959

1851 Carr 2
Bayamon, PR 00959

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1609083377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602727",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606037",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CARR. #2",
            "address_2": "CT RADIOLOGY BULDING",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597279",
            "telephone_number": "787-780-9069",
            "fax_number": "787-780-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRP MED CT RADIOLOGY COMPLEX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CT RADIOLOGY COMPLEX LLC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA POL",
        "authorized_official_first_name": "NORISELLE",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "FINANCE VP",
        "authorized_official_telephone_number": "787-621-3724",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE",
            "identifier": "S80101",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CT RADIOLOGY COMPLEX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.