Organization Active NPI

Quantum Interventional Radiology, PSC

  • Vascular & Interventional Radiology Physician
  • Rio Piedras, PR
National Provider Identifier
1770804205
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
16455 Issued in PR
Legal business name
QUANTUM INTERVENTIONAL RADIOLOGY, PSC
Practice address
Ave Americo Miranda
Medical Center Corner
Rio Piedras, PR 00935
Phone
(787) 294-0512
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Authorized official

Name
Dr. Alejandro Jorge Hidalgo Rios, MDNPI 1548463706
Title
President
Phone
(787) 294-0512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 16455 PR Primary

Addresses

Primary practice location

Ave Americo Miranda
Medical Center Corner
Rio Piedras, PR 00935

Mailing address

PO Box 364584
San Juan, PR 00936-4584
Phone (787) 671-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818001010 PR Part B Supplier - Clinic/Group Practice 3476687096 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556668800000",
    "number": "1770804205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364584",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364584",
            "telephone_number": "787-671-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE AMERICO MIRANDA",
            "address_2": "MEDICAL CENTER CORNER",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-294-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM INTERVENTIONAL RADIOLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2019-05-01",
        "status": "A",
        "authorized_official_last_name": "HIDALGO RIOS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-294-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "16455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.