Organization Active NPI

South Western Radiology Services PSC

Doing business as Advanced MRI & CT Institute

  • Radiology Clinic/Center
  • Vega Baja, PR
National Provider Identifier
1780652594
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
05-265 Issued in PR
Legal business name
SOUTH WESTERN RADIOLOGY SERVICES PSC
Doing business as
Advanced MRI & CT Institute
Practice address
D10 Calle 2
Urb. Villa Real
Vega Baja, PR 00693-4611
Phone
(787) 807-0900
Fax
(787) 855-2729
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Dr. Manuel Medina, MDNPI 1205814761
Title
President
Phone
(787) 807-0900

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 05-265 PR
Radiology Clinic/Center 261QR0200X 05-265 PR Primary

Addresses

Primary practice location

D10 Calle 2
Urb. Villa Real
Vega Baja, PR 00693-4611

Mailing address

PO Box 1498
Vega Baja, PR 00694-1498
Phone (787) 807-0900

Other identifiers 1

IdentifierTypeStateIssuer
008-4912OtherPRMEDICARE PTAN

Other names 1

  • ADVANCED MRI & CT INSTITUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000457 PR Part B Supplier - Clinic/Group Practice 0042399305 Receives reassigned benefits from 1 practitioner
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1780652594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1498",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941498",
            "telephone_number": "787-807-0900",
            "fax_number": "787-855-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D10 CALLE 2",
            "address_2": "URB. VILLA REAL",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934611",
            "telephone_number": "787-807-0900",
            "fax_number": "787-855-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WESTERN RADIOLOGY SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-807-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PR",
            "license": "05-265",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "05-265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "008-4912",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED MRI & CT INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.