Vega Baja Radiology PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

7078 Issued in PR

Legal business name

VEGA BAJA RADIOLOGY PSC

Practice address

3998 Carr 2
Vega Baja, PR 00693-4140

Phone

(787) 855-2687

Fax

(787) 858-8522

NPI assigned

Jul 13, 2006

Last updated

Aug 22, 2020By 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

Dr. Gladimiro Davila, M.D.

Title

President

Phone

(787) 855-2687

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 5

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.

• Armando L Bonnet-Mercier, M.D.

  • Diagnostic Radiology Physician
  • Guaynabo, PR
  • NPI 1881671519
  Medicare reassignment NPD
• Uriel Camacho, M.D.

  • Diagnostic Radiology Physician
  • Corozal, PR
  • NPI 1861696478
  Medicare reassignment NPD
• Fernando Descartes Soler

  • Body Imaging Physician
  • Cabo Rojo, PR
  • NPI 1336349190
  Medicare reassignment NPD
• Fernando J Lopez Rodriguez, M.D.

  • Neuroradiology Physician
  • Canovanas, PR
  • NPI 1871799478

  Diagnostic Radiology

  Medicare reassignment NPD
• Francisco Delacruzcruz IV, M.D.

  • Neuroradiology Physician
  • Manati, PR
  • NPI 1376500637
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619993987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 CARR 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934140",
            "telephone_number": "787-855-2687",
            "fax_number": "787-858-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 CARR 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934140",
            "telephone_number": "787-855-2687",
            "fax_number": "787-858-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA BAJA RADIOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "GLADIMIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-855-2687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "7078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vega Baja Imaging LLC
• Vega Baja Imaging LLC
• Vega Baja Medical Group Inc
• Vega Baja Medical Services Inc.
• Vega Baja Radiology Center LLC
• Idalys Vega Rivera
• Marilea Vega-Gilormini, PSYCHOLOGIST
• Ivonne Maria Vega, M.D.
• Janiabeth Vega, MD
• Vega's Medical Supply

• Diagnostic Radiology Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.