NPIMap

Organization Active NPI

Advance Imaging PSC

  • Radiology Clinic/Center
  • San Juan, PR
National Provider Identifier
1679861058
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ADVANCE IMAGING PSC
Practice address
Centro Cardiovascular de PR Y del Caribe
Ave Americo Miranda Entrada Principal
San Juan, PR 00924
Phone
(787) 274-1672
Fax
(787) 200-4318
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Frank Kolodziej
Title
President
Phone
(787) 620-8740

Specialties & licenses 1

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

Addresses

Primary practice location

Centro Cardiovascular de PR Y del Caribe
Ave Americo Miranda Entrada Principal
San Juan, PR 00924

Mailing address

PO Box 364443
San Juan, PR 00907
Phone (787) 274-1672

National Provider Directory

National Provider Directory
Tax ID family
Advance Imaging 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.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1679861058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364443",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-274-1672",
            "fax_number": "787-200-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO CARDIOVASCULAR DE PR Y DEL CARIBE",
            "address_2": "AVE AMERICO MIRANDA ENTRADA PRINCIPAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-274-1672",
            "fax_number": "787-200-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE IMAGING PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "KOLODZIEJ",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-620-8740",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "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 Jul 19, 2011; 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.