Organization Active NPI

Advanced Technonuclear Imaging Center Inc

  • Nuclear Medicine Physician
  • San Juan, PR
National Provider Identifier
1710211529
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
11861 Issued in PR
Legal business name
ADVANCED TECHNONUCLEAR IMAGING CENTER INC
Practice address
525 Ave FD Roosevelt
Suite 401, la Torre de Plaza
San Juan, PR 00918-8001
Phone
(787) 237-0554
Fax
(787) 282-0472
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Carlos D Garcia, M.D.NPI 1912984667
Title
Owner/President
Phone
(787) 548-0035

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 11861 PR
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X 11861 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
Suite 401, la Torre de Plaza
San Juan, PR 00918-8001

Mailing address

525 Ave FD Roosevelt
Suite 401, la Torre de Plaza
San Juan, PR 00918-8001
Phone (787) 237-0554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100914001380 PR Part B Supplier - Clinic/Group Practice 0143345157 Receives reassigned benefits from 1 practitioner
Practice locations: Humacao, PR; San Juan, PR

National Provider Directory

National Provider Directory

Locations

50 Calle Victoria
Ste 10
Humacao, PR 00791
Phone (787) 237-0554

Practitioners & affiliated clinicians

Practitioners 1

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": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1710211529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "SUITE 401, LA TORRE DE PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-237-0554",
            "fax_number": "787-282-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "SUITE 401, LA TORRE DE PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-237-0554",
            "fax_number": "787-282-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TECHNONUCLEAR IMAGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "787-548-0035",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11861",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "11861",
            "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 Jan 31, 2011; 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.