NPIMap

Organization Active NPI

Cardiac and Vascular Imaging and Medical Group PSC

  • Radiology Clinic/Center
  • San Juan, PR
National Provider Identifier
1659536597
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
011391 Issued in PR
Legal business name
CARDIAC AND VASCULAR IMAGING AND MEDICAL GROUP PSC
Practice address
1501 Ave Fernandez Juncos
Suite 101
San Juan, PR 00909-2760
Phone
(787) 268-6793
NPI assigned
Jul 21, 2008
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Oscar Crespo, MD.NPI 1477552255
Title
Ceo
Phone
(787) 529-8163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 011391 PR Primary

Addresses

Primary practice location

1501 Ave Fernandez Juncos
Suite 101
San Juan, PR 00909-2760

Mailing address

PO Box 8135
San Juan, PR 00910-0135
Phone (787) 268-6836

National Provider Directory

National Provider Directory

Locations

1501 Ave Fernandez Juncos
Ste 101
San Juan, PR 00909
Phone (787) 268-6793

Practitioners & affiliated clinicians

Practitioners 6

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": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1659536597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8135",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009100135",
            "telephone_number": "787-268-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 AVE FERNANDEZ JUNCOS",
            "address_2": "SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092760",
            "telephone_number": "787-268-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC AND VASCULAR IMAGING AND MEDICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-529-8163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "011391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.