Medical Ancillary Diagnostic Services

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

0087889 Issued in PR

Legal business name

MEDICAL ANCILLARY DIAGNOSTIC SERVICES

Practice address

Ave Boulevard Ee20
Levittown
Toa Baja, PR 00949-5900

Phone

(787) 261-5173

Fax

(787) 261-2953

NPI assigned

Mar 19, 2007

Last updated

Jun 18, 2008By 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

Mr. Heriberto Morales

Title

President

Phone

(787) 261-5173

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jose R Nadal, MD

  • Cardiovascular Disease Physician
  • Santurce, PR
  • NPI 1245325406
  NPD
• Moraima Landrau Moreno, MD

  • Physical Medicine & Rehabilitation Physician
  • Ponce, PR
  • NPI 1609860535
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1629192471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 AVE ISLA VERDE",
            "address_2": "COND CASTILLO DEL MAR PMB 1409",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009795300",
            "telephone_number": "787-261-5173",
            "fax_number": "787-261-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BOULEVARD EE20",
            "address_2": "LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009495900",
            "telephone_number": "787-261-5173",
            "fax_number": "787-261-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ANCILLARY DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-261-5173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "PR",
            "license": "0087889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximal Therapy Group, P S C
• Alfredo Ramon Mayorca, MD
• Maria Elena Maysonet Montalvo, LCDA
• Juan Carlos Maysonet, D.D.S
• Med Call Corp.
• Medical Specialty Clinic LLC
• Medicos Pharmacy & Laboratory (Farmacia MPL CDT Dr Olivera Guerra)
• Medicos Visitantes CSP
• Yanira Medina Claudio, MD
• Juan Carlos Medina Colon

• Other Specialist/Technologist in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• Other Specialist/Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.