Active NPI
Radiologia & Sonografia de Guaynabo
- Mammography Clinic/Center
- Guaynabo, PR
National Provider Identifier
1649305137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- License
- 7857
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.