NPIMap

Organization Active NPI

Cusa Radiology Group LLC

  • Vascular & Interventional Radiology Physician
  • Ponce, PR
National Provider Identifier
1669284758
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CUSA RADIOLOGY GROUP LLC
Practice address
509 Ave Tito Castro
Ponce, PR 00716-0207
Phone
(787) 856-2157
NPI assigned
Jan 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Dr. Dennis Cummings Alvarez, MD
Title
President
Phone
(787) 429-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

509 Ave Tito Castro
Ponce, PR 00716-0207

Mailing address

PO Box 705
Mercedita, PR 00715-0705
Phone (787) 856-2157

Other names 1

  • CUSA RADIOLOGY GROUP LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313003540 PR Part B Supplier - Clinic/Group Practice 9032631593 Receives reassigned benefits from 3 practitioners
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

509 Ave Tito Castro
Ponce, PR 00716
Phone (787) 840-5090

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1669284758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 705",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150705",
            "telephone_number": "787-856-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160207",
            "telephone_number": "787-856-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSA RADIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS ALVAREZ",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-429-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUSA RADIOLOGY GROUP LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.