Active NPI
Medical X Ray Center Ponce
- Radiology Clinic/Center
- Ponce, PR
National Provider Identifier
1689998643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MEDICAL X RAY CENTER PONCE
- Practice address
- 509 Ave Tito Castro
Ponce, PR 00716-0207 - Phone
- (787) 840-5090
- Fax
- (787) 840-5090
- NPI assigned
- Mar 19, 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. Jose A Rivera Rivera, M.D.
- Title
- Owner
- Phone
- (787) 615-3318
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
509 Ave Tito Castro
Ponce, PR 00716-0207
Mailing address
PO Box 10189
Ponce, PR 00732-0189
Phone (787) 840-5090
Other names 1
- Jose A. Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130308000041 | PR | Part B Supplier - Clinic/Group Practice | 7113172628 |
Receives reassigned benefits from 7 practitioners Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospice and Palliative Medicine (Radiology) Physician
- Cayey, PR
- NPI 1598881435
PR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349136000000",
"number": "1689998643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10189",
"city": "PONCE",
"state": "PR",
"postal_code": "007320189",
"telephone_number": "787-840-5090",
"fax_number": "787-840-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 AVE TITO CASTRO",
"city": "PONCE",
"state": "PR",
"postal_code": "007160207",
"telephone_number": "787-840-5090",
"fax_number": "787-840-5090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL X RAY CENTER PONCE",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-19",
"last_updated": "2012-10-02",
"status": "A",
"authorized_official_last_name": "RIVERA RIVERA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "787-615-3318",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jose A. Rivera",
"code": "4",
"type": "Former Legal Business Name"
}
]
}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 2, 2012; 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.