NPIMap

Organization Active NPI

MD Radiology Services PSC

Doing business as Centro Medico Profesional de la Salud

  • Clinical Medical Laboratory
  • Corozal, PR
National Provider Identifier
1710980925
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
337 Issued in PR
Legal business name
MD RADIOLOGY SERVICES PSC
Doing business as
Centro Medico Profesional de la Salud
Practice address
Carretera 891 KM 15.1
Bo Pueblo
Corozal, PR 00783-9509
Phone
(787) 859-4443
Fax
(787) 792-7598
NPI assigned
May 23, 2005
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Wanda M Beltran, M.D.
Title
Internal Medicine
Phone
(787) 859-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 337 PR Primary

Addresses

Primary practice location

Carretera 891 KM 15.1
Bo Pueblo
Corozal, PR 00783-9509

Mailing address

HC 02 Box 9950
Corozal, PR 00783
Phone (787) 859-4443

Other names 1

  • CENTRO MEDICO PROFESIONAL DE LA SALUD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1710980925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 02 BOX 9950",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "00783",
            "telephone_number": "787-859-4443",
            "fax_number": "787-792-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 891 KM 15.1",
            "address_2": "BO PUEBLO",
            "city": "COROZAL",
            "state": "PR",
            "postal_code": "007839509",
            "telephone_number": "787-859-4443",
            "fax_number": "787-792-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD RADIOLOGY SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BELTRAN",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "787-859-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO MEDICO PROFESIONAL DE LA SALUD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corozal, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.