Prorad Imaging, PSC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PRORAD IMAGING, PSC

Practice address

9548 Calle Diaz Way
Apt. 415
Carolina, PR 00979-1405

Phone

(786) 553-4510

NPI assigned

Sep 17, 2013

Organization subpart

No

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

Authorized official

Name

Germaine Rodriguez, M.D.

Title

President

Phone

(786) 553-4510

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1770919144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9548 CALLE DIAZ WAY",
            "address_2": "APT. 415",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009791405",
            "telephone_number": "786-553-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9548 CALLE DIAZ WAY",
            "address_2": "APT. 415",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009791405",
            "telephone_number": "786-553-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRORAD IMAGING, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-553-4510",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.