Organization Active NPI

Centro Radiologico de Vega Baja

Doing business as Vega Baja Radiology Center

  • Diagnostic Radiology Physician
  • Vega Baja, PR
National Provider Identifier
1700878394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRO RADIOLOGICO DE VEGA BAJA
Doing business as
Vega Baja Radiology Center
Practice address
3998 Carr 2
Sect. El Criollo
Vega Baja, PR 00693-4140
Phone
(787) 855-2687
Fax
(787) 858-8522
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose R Rossello, LCDO
Title
President
Phone
(787) 855-2687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X PR Primary

Addresses

Primary practice location

3998 Carr 2
Sect. El Criollo
Vega Baja, PR 00693-4140

Mailing address

3998 Carr 2
Sect. El Criollo
Vega Baja, PR 00693-4140
Phone (787) 855-2687

Other names 1

  • VEGA BAJA RADIOLOGY CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700878394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 CARR 2",
            "address_2": "SECT. EL CRIOLLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934140",
            "telephone_number": "787-855-2687",
            "fax_number": "787-858-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 CARR 2",
            "address_2": "SECT. EL CRIOLLO",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934140",
            "telephone_number": "787-855-2687",
            "fax_number": "787-858-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO DE VEGA BAJA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSELLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-855-2687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VEGA BAJA RADIOLOGY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.