Organization Active NPI

Levittown Advance MRI and CT Services PSC

  • Neuroradiology Physician
  • Toa Baja, PR
National Provider Identifier
1730277096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
11021 Issued in PR
Legal business name
LEVITTOWN ADVANCE MRI AND CT SERVICES PSC
Practice address
7Ma Seccion Levittown
JR2 Calle Lizzie Graham
Toa Baja, PR 00949
Phone
(787) 784-1235
NPI assigned
Oct 11, 2006
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
Mrs. Eunice Marie Padilla
Title
Medical Billing Officer
Phone
(787) 795-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X 11021 PR Primary

Addresses

Primary practice location

7Ma Seccion Levittown
JR2 Calle Lizzie Graham
Toa Baja, PR 00949

Mailing address

PMB 358 1353
Rd 19
Guaynabo, PR 00966
Phone (787) 795-4321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730277096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 358 1353",
            "address_2": "RD 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-795-4321",
            "fax_number": "787-795-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7MA SECCION LEVITTOWN",
            "address_2": "JR2 CALLE LIZZIE GRAHAM",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "00949",
            "telephone_number": "787-784-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVITTOWN ADVANCE MRI AND CT SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLING OFFICER",
        "authorized_official_telephone_number": "787-795-4321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "11021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa 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.