Organization Active NPI

Instituto Sonoradiologico Hostos

  • Diagnostic Radiology Physician
  • Hato Rey, PR
National Provider Identifier
1619950227
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INSTITUTO SONORADIOLOGICO HOSTOS
Practice address
Urb Baldrich
Ave Hostos 514 B
Hato Rey, PR 00918
Phone
(787) 766-1575
Fax
(787) 766-1574
NPI assigned
Nov 29, 2005
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Dr. Yvelisse Gonzalez Segui, MDNPI 1215911771
Title
Duena
Phone
(787) 766-1575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

Urb Baldrich
Ave Hostos 514 B
Hato Rey, PR 00918

Mailing address

Urb Baldrich
Ave Hostos 514 B
Hato Rey, PR 00918
Phone (787) 766-1575

Other names 1

  • INSTITUTO SONO-RADIOLOGICO HOSTOS, INC. C.S.P. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110726000268 PR Part B Supplier - Clinic/Group Practice 9931377579 Receives reassigned benefits from 1 practitioner
Practice locations: Hato Rey, PR

National Provider Directory

National Provider Directory
Tax ID family
Inst Sonoradio Host2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

514 Ave Hostos
#B
San Juan, PR 00918
Phone (809) 766-1575

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1619950227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BALDRICH",
            "address_2": "AVE HOSTOS 514 B",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-766-1575",
            "fax_number": "787-766-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB BALDRICH",
            "address_2": "AVE HOSTOS 514 B",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-766-1575",
            "fax_number": "787-766-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO SONORADIOLOGICO HOSTOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SEGUI",
        "authorized_official_first_name": "YVELISSE",
        "authorized_official_title_or_position": "DUENA",
        "authorized_official_telephone_number": "787-766-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSTITUTO SONO-RADIOLOGICO HOSTOS, INC. C.S.P.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.

Verify at the official NPI Registry.