Imi of San Juan

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

52-25390-01 Issued in PR

Legal business name

IMI OF SAN JUAN

Doing business as

Carolina Nuclear & Cardiovascular Insttute

Practice address

Avenue Monserrate #Ac8
Valle Arriba Heights
Carolina, PR 00985-5444

Phone

(787) 757-5985

Fax

(787) 757-6190

NPI assigned

Mar 19, 2010

Last updated

Mar 31, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nivia Souffront

Title

Center Director

Phone

(787) 757-5985

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CAROLINA NUCLEAR & CARDIOVASCULAR INSTTUTE Doing business as

Tax ID family

Imi of San Juan3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Imi of San Juan

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Juan, PR
  • NPI 1427259316
  NPD tax ID
• Imi of San Juan

  dba San Juan MRI & CT

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Santurce, PR
  • NPI 1588989743
  NPD tax ID

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1609190610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 AVE FERNANDEZ JUNCOS",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092655",
            "telephone_number": "787-721-7776",
            "fax_number": "787-721-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENUE MONSERRATE #AC8",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855444",
            "telephone_number": "787-757-5985",
            "fax_number": "787-757-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMI OF SAN JUAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "SOUFFRONT",
        "authorized_official_first_name": "NIVIA",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "787-757-5985",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "52-25390-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NRC",
            "identifier": "52-25390-01",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA NUCLEAR & CARDIOVASCULAR INSTTUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priscilla Huertas Garcia, RPT
• Lisette Huertas-Sola, M.D.
• Myrna Linnette Huertas, MD
• Rheanna Nicole Hyden-Horner, BSN, RN, SRNA
• Hyperbaric Skin and Health Clinic Inc.
• Imperial Medical Services, C. S. P. (Isla Verde Medical Services)
• Jaysha Lee Infante Rodriguez, PHARMD
• Michelle Infanzon, PT
• Insight Optical (Iom)
• Insight Optical

• Multi-Specialty Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.