Organization Active NPI

Advanced Breast Clinics

  • Mammography Clinic/Center
  • Toa Baja, PR
National Provider Identifier
1679707806
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
13446 Issued in PR
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

Updated by the provider on May 1, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NPIOtherPR1205814761

Other names 1

  • ADVANCED BREAST CLINICS, IMAGING AND DIAGNOSTIC CENTER Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.