Lazos Radiology Center, LLC

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

Legal business name

LAZOS RADIOLOGY CENTER, LLC

Practice address

611 Calle Manuel Pavia
Pavia Medical Plaza, Suite 113
San Juan, PR 00910

Phone

(787) 727-0500

Fax

(787) 268-5511

NPI assigned

Aug 21, 2017

Last updated

Aug 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wilma Cordero Gines

Title

Manager

Phone

(787) 727-0500

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1720504814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11792",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009102892",
            "telephone_number": "787-727-0500",
            "fax_number": "787-268-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE MANUEL PAVIA",
            "address_2": "PAVIA MEDICAL PLAZA, SUITE 113",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-727-0500",
            "fax_number": "787-268-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZOS RADIOLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "CORDERO GINES",
        "authorized_official_first_name": "WILMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-727-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471N0900X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Nuclear Medicine Technology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Irene Lavergne, DC
• Lawmedic, Inc. (Lawmedic Hospital & Medical Supplies)
• Lazaro Orthopedics LLC
• Lionel E. Lazaro, M.D.
• Maria Ines Lazaro
• Lba Medical Services Inc (Grupo Medico San Gerardo)
• LC Pharma-Teck Inc.
• LC Radiology P.S.C.
• Lda Dental Services LLC
• LDG Medical Services Group, LLC

• Radiologic Technologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Radiologic Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.