Organization Active NPI

Caribbean Roentgen Group,Inc.

Doing business as Gladimiro Davila-Martinez,M.D.

  • Radiology Clinic/Center
  • Las Piedras, PR
National Provider Identifier
1629295431
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
7078 Issued in PR
Legal business name
CARIBBEAN ROENTGEN GROUP,INC.
Doing business as
Gladimiro Davila-Martinez,M.D.
Practice address
# 68 Calle Dr. Juse Celso Barbosa
Las Piedras, PR 00771
Phone
(787) 733-5588
Fax
(787) 733-5588
NPI assigned
Apr 20, 2007
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. Gladimiro Davila-Martinez, M.D.NPI 1902846496
Title
Radiologist
Phone
(787) 733-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 7078 PR Primary
Body Imaging Physician 2085B0100X 7078 PR
Pediatric Radiology Physician 2085P0229X 7078 PR
Radiological Physics Physician 2085R0205X 7078 PR
Diagnostic Ultrasound Physician 2085U0001X 7078 PR

Addresses

Primary practice location

# 68 Calle Dr. Juse Celso Barbosa
Las Piedras, PR 00771

Mailing address

PO Box 1043
Las Piedras, PR 00771-1043
Phone (787) 733-5588

Other identifiers 1

IdentifierTypeStateIssuer
7078OtherPRPUERTO RICO MEDICAL LICENCE

Other names 1

  • GLADIMIRO DAVILA-MARTINEZ,M.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro Radiologico Las Piedras4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 3

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1629295431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1043",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711043",
            "telephone_number": "787-733-5588",
            "fax_number": "787-733-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 68 CALLE DR. JUSE CELSO BARBOSA",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-5588",
            "fax_number": "787-733-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN ROENTGEN GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVILA-MARTINEZ",
        "authorized_official_first_name": "GLADIMIRO",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "787-733-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "7078",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "7078",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "PR",
            "license": "7078",
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "PR",
            "license": "7078",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "7078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO  MEDICAL LICENCE",
            "identifier": "7078",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLADIMIRO DAVILA-MARTINEZ,M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.