SM Imaging PSC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

License

12064 Issued in PR

Legal business name

SM IMAGING PSC

Practice address

Calle Hernandez Carrion, Urb. Atenas
Manati Medical Center
Manati, PR 00974

Phone

(787) 621-3700

NPI assigned

Jul 31, 2013

Last updated

Mar 24, 2020By 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

Mr. Antonio L Diaz, MD

Title

President Smi

Phone

(787) 621-3700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1770915894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAND BOULEVARD PASEO , 112 PMB 412",
            "address_2": "CALLE ADAMS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-414-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION, URB. ATENAS",
            "address_2": "MANATI MEDICAL CENTER",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00974",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM IMAGING PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT SMI",
        "authorized_official_telephone_number": "787-621-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "12064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Servicios Visuales del Norte, Inc. (Industrial Optics)
• Sasan Mohammadi Shibani, M.D.
• Ana Gabriela Silva
• Jorge E Silva, M.D,
• Milagros Ivette Silva, MPH
• Sociedad de Radiologos Consultores,P.S.C. (Centro Radiologico Y Sonografico de Manati)
• Sociedad Ortiz-Annexy Gastroenterologia
• Robert Brian Sojo-Altieri, M.D.
• Maria Margarita Sola Joglar
• Rafael Solano Garcia, MD

• Mammography Clinic/Center in Manati, PR
• Providers in Manati, 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 Mar 24, 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.