NPIMap

Organization Active NPI

R S Medical Service Corp.

Doing business as Canas Imaging Center

  • Radiology Clinic/Center
  • Ponce, PR
National Provider Identifier
1679917785
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
25 Issued in PR
Legal business name
R S MEDICAL SERVICE CORP.
Doing business as
Canas Imaging Center
Practice address
Carr. 132 KM 22.1 Bo Canas
Plaza Gabriela
Ponce, PR 00728
Phone
(787) 812-3939
Fax
(787) 812-3931
NPI assigned
Apr 19, 2013
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Dr. Jesus Waldemar Rodriguez, M.D.
Title
Presidente
Phone
(787) 812-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 25 PR Primary

Addresses

Primary practice location

Carr. 132 KM 22.1 Bo Canas
Plaza Gabriela
Ponce, PR 00728

Mailing address

PO Box 664
Mercedita, PR 00715-0664
Phone (787) 812-3939

Other identifiers 3

IdentifierTypeStateIssuer
1679917785OtherPRPALIC
1679917785OtherPRHUMANA
1679917785OtherPRMCS

Other names 1

  • Canas Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161011000553 PR Part B Supplier - Clinic/Group Practice 8325336183 Receives reassigned benefits from 4 practitioners
Practice locations: Ponce, PR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
RS Medical Service Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1679917785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150664",
            "telephone_number": "787-812-3939",
            "fax_number": "787-812-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 132 KM 22.1 BO CANAS",
            "address_2": "PLAZA GABRIELA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-812-3939",
            "fax_number": "787-812-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R S MEDICAL SERVICE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "WALDEMAR",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-812-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "25",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "1679917785",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1679917785",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "1679917785",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canas Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.