Ponce Medical Imaging

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

6047 Issued in PR

Legal business name

PONCE MEDICAL IMAGING

Practice address

1326 Calle Salud
El Senorial Plaza 105
Ponce, PR 00717-1686

Phone

(787) 840-3395

Fax

(787) 844-2664

NPI assigned

Jun 8, 2010

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

INSTITUTO ULTRASONIDO Y MAMOGRAFIAAs reported in NPPES

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

Authorized official

Name

Dr. Miguel A. Echevarria, MD

Title

Owner

Phone

(787) 840-3395

Specialties & licenses 1

Addresses

Tax ID family

Instituto Ultrasonido Y Mamografia2 organizations share this tax ID, including this one

Part of

Instituto Ultrasonido Y Mamografia

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Instituto Ultrasonido Y Mamografia

  dba Juana Diaz Medical Imaging

  • Mammography Clinic/Center
  • Juana Diaz, PR
  • NPI 1043522006
  NPD tax ID

Locations

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.

• Miguel Angel Echevarria Rodriguez, MD

  • Diagnostic Radiology Physician
  • Ponce, PR
  • NPI 1447345376
  NPD (past)

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1750601183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150720",
            "telephone_number": "787-840-3395",
            "fax_number": "787-844-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CALLE SALUD",
            "address_2": "EL SENORIAL PLAZA 105",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171686",
            "telephone_number": "787-840-3395",
            "fax_number": "787-844-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONCE MEDICAL IMAGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INSTITUTO ULTRASONIDO Y MAMOGRAFIA",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "ECHEVARRIA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-840-3395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "6047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponce Health Center, LLC
• Ponce Health Sciences University
• Ponce Hematology Oncology P.S.C. (Dr. Hector A Velez Cortes)
• Ponce Hyperbaric and Wound Care,CP
• Ponce Medical Ambulance Inc
• Ponce Medical School Foundation Inc
• Ponce Medical School Foundation Inc (Csco Ponce)
• Ponce Medical School Foundation, Inc.
• Ponce Neurological Consultants Inc.
• Ponce Nuclear Medicine, P.S.C.

• Mammography Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Mammography Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.