Organization Active NPI

Centro de Radiologia Intervencional de Puerto Rico CP

  • Vascular & Interventional Radiology Physician
  • Santurce, PR
National Provider Identifier
1629470158
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
17366 Issued in PR
Legal business name
CENTRO DE RADIOLOGIA INTERVENCIONAL DE PUERTO RICO CP
Practice address
1760 Calle Loiza Ste 205
Santurce, PR 00911
Phone
(787) 758-3320
Fax
(787) 758-3358
NPI assigned
Sep 16, 2014
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Martin Ignacio Gorrochategui, M.D.NPI 1841443553
Title
Owner
Phone
(305) 297-4377

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 17366 PR Primary

Addresses

Primary practice location

1760 Calle Loiza Ste 205
Santurce, PR 00911

Mailing address

660 Calle Estado Apt a
San Juan, PR 00907-3533
Phone (305) 297-4377

National Provider Directory

National Provider Directory

Locations

1760 Calle Loiza
Ste 205
Santurce, PR 00911
Phone (305) 297-4377

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1629470158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CALLE ESTADO APT A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073533",
            "telephone_number": "305-297-4377",
            "fax_number": "888-350-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CALLE LOIZA STE 205",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-758-3320",
            "fax_number": "787-758-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE RADIOLOGIA INTERVENCIONAL DE PUERTO RICO CP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "GORROCHATEGUI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-297-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "17366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.