Active NPI
Advanced Breast Clinics
- Mammography Clinic/Center
- Toa Baja, PR
National Provider Identifier
1679707806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mammography Clinic/Center
- License
- 13446
- Legal business name
- ADVANCED BREAST CLINICS
- Practice address
- 1000 Ave Dos Palmas
Levittown
Toa Baja, PR 00949-4101 - Phone
- (787) 784-5706
- NPI assigned
- May 1, 2009
- 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. Carlos A Santiago, MD, FACS
- Title
- Owner
- Phone
- (787) 318-8930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mammography Clinic/Center | 261QR0206X | 13446 | PR | Primary |
Addresses
Primary practice location
1000 Ave Dos Palmas
Levittown
Toa Baja, PR 00949-4101
Mailing address
PO Box 633
Dorado, PR 00646-0633
Phone (787) 784-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPI | Other | PR | 1205814761 |
Other names 1
- ADVANCED BREAST CLINICS, IMAGING AND DIAGNOSTIC CENTER
National Provider Directory
National Provider DirectoryLocations
1000 Ave Dos Palmas
Toa Baja, PR 00949
Phone (787) 784-5706
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Oncology Physician
- Toa Baja, PR
- NPI 1588646681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241136000000",
"number": "1679707806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633",
"city": "DORADO",
"state": "PR",
"postal_code": "006460633",
"telephone_number": "787-784-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 AVE DOS PALMAS",
"address_2": "LEVITTOWN",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009494101",
"telephone_number": "787-784-5706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED BREAST CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-01",
"last_updated": "2009-05-01",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-318-8930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, FACS"
},
"taxonomies": [
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": "PR",
"license": "13446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1205814761",
"identifier": "NPI",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ADVANCED BREAST CLINICS, IMAGING AND DIAGNOSTIC CENTER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.