Active NPI
VA Radiology Services, P.S.C.
- Diagnostic Radiology Physician
- Bayamon, PR
National Provider Identifier
1679881007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- VA RADIOLOGY SERVICES, P.S.C.
- Practice address
- Gallardo Towers # 201
Bayamon, PR 00961-6329 - Phone
- (787) 785-8034
- Fax
- (787) 787-8029
- NPI assigned
- Sep 20, 2010
- 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. Pedro E Diaz Ortiz, M.D.
- Title
- President
- Phone
- (787) 785-8034
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | |||
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | |||
| Neuroradiology Physician | 2085N0700X | |||
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
Gallardo Towers # 201
Bayamon, PR 00961-6329
Mailing address
35 Juan Carlos Borbon PMB 383
Suite 67
Guaynabo, PR 00969-5375
Phone (787) 785-8034
National Provider Directory
National Provider DirectoryPractitioners & 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": "1284940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284940800000",
"number": "1679881007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 JUAN CARLOS BORBON PMB 383",
"address_2": "SUITE 67",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009695375",
"telephone_number": "787-785-8034",
"fax_number": "787-787-8029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GALLARDO TOWERS # 201",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616329",
"telephone_number": "787-785-8034",
"fax_number": "787-787-8029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VA RADIOLOGY SERVICES, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A",
"authorized_official_last_name": "DIAZ ORTIZ",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-785-8034",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Body Imaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085D0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.