Organization Active NPI

Sociedad Radiologica de Bayamon Service Corp

  • Radiology Clinic/Center
  • Bayamon, PR
National Provider Identifier
1750340055
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SOCIEDAD RADIOLOGICA DE BAYAMON SERVICE CORP
Practice address
73 Calle Santa Cruz
Edificio Medico Sta Cruz Ofic 103
Bayamon, PR 00961-6910
Phone
(787) 786-4557
Fax
(787) 740-1399
NPI assigned
Mar 23, 2006
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Samuel Garau, MD
Title
President
Phone
(787) 785-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

73 Calle Santa Cruz
Edificio Medico Sta Cruz Ofic 103
Bayamon, PR 00961-6910

Mailing address

PO Box 70152
San Juan, PR 00936-8152
Phone (787) 785-4620

National Provider Directory

National Provider Directory

Locations

73 Calle Santa Cruz
Ste 103
Bayamon, PR 00961
Phone (787) 622-2024

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1750340055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70152",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368152",
            "telephone_number": "787-785-4620",
            "fax_number": "787-740-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "EDIFICIO MEDICO STA CRUZ OFIC 103",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-786-4557",
            "fax_number": "787-740-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIEDAD RADIOLOGICA DE BAYAMON SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "GARAU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-785-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.