Organization Active NPI

Radiologia & Sonografia de Guaynabo

  • Mammography Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1649305137
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
7857 Issued in PR
Legal business name
RADIOLOGIA & SONOGRAFIA DE GUAYNABO
Practice address
202 Ave Esmeralda
Ponce de Elon
Guaynabo, PR 00969-4448
Phone
(787) 272-5656
Fax
(787) 720-3232
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Dr. Irma Nydia Colon, MD
Title
President
Phone
(787) 272-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 7857 PR Primary

Addresses

Primary practice location

202 Ave Esmeralda
Ponce de Elon
Guaynabo, PR 00969-4448

Mailing address

53 Ave Esmeralda
PMB 171
Guaynabo, PR 00969-4429
Phone (787) 272-5656

Other names 1

  • CENTRO RADIOLOGICO DE GUAYNABO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000524 PR Part B Supplier - Clinic/Group Practice 4183793672 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guaynabo, PR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

202 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 272-5656

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1649305137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 AVE ESMERALDA",
            "address_2": "PMB 171",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-272-5656",
            "fax_number": "787-720-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AVE ESMERALDA",
            "address_2": "PONCE DE ELON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694448",
            "telephone_number": "787-272-5656",
            "fax_number": "787-720-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGIA & SONOGRAFIA DE GUAYNABO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "NYDIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-272-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "7857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO RADIOLOGICO DE GUAYNABO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.