Organization Active NPI

Comprehensive Nuclear & Diagnostic Radiology Service, LLC

  • Preferred Provider Organization
  • Mayaguez, PR
National Provider Identifier
1679849368
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
COMPREHENSIVE NUCLEAR & DIAGNOSTIC RADIOLOGY SERVICE, LLC
Practice address
7006 Calle Begonia
Mayaguez, PR 00682-1287
Phone
(787) 439-7739
Fax
(187) 788-0234
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Jose E. Rivera RodriguezNPI 1942406343
Title
Radiology
Phone
(787) 439-7739

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
Preferred Provider Organization 305R00000X PR Primary

Addresses

Primary practice location

7006 Calle Begonia
Mayaguez, PR 00682-1287

Mailing address

P.O. Box 355
Aguadilla, PR 00605

National Provider Directory

National Provider Directory
Tax ID family
Aguadilla X-Ray Office Body Imaging Center PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1679849368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 355",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 CALLE BEGONIA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821287",
            "telephone_number": "787-439-7739",
            "fax_number": "187-788-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NUCLEAR & DIAGNOSTIC RADIOLOGY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "RIVERA RODRIGUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "RADIOLOGY",
        "authorized_official_telephone_number": "787-439-7739",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.