Organization Active NPI

Centro Gamma Knife de PR

  • Ambulatory Surgical Clinic/Center
  • San Juan, PR
National Provider Identifier
1780901389
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CENTRO GAMMA KNIFE DE PR
Practice address
Bo Monacillos 22 Rio Piedras
San Juan, PR 00922-2129
Phone
(787) 777-3535
Fax
(787) 777-3481
NPI assigned
Apr 23, 2010
Organization subpart
Yes
Parent organization
ADMINISTRACION DE SERVICIOS MEDICOS DE PRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Authorized official

Name
Mr. Jose Rivera, ADM
Title
Administrative Assistan
Phone
(787) 777-3535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PR Primary
Critical Access Hospital 282NC0060X PR

Addresses

Primary practice location

Bo Monacillos 22 Rio Piedras
San Juan, PR 00922-2129

Mailing address

PO Box 2129
San Juan, PR 00922-2129
Phone (787) 777-3535

Other names 1

  • GAMMA KNIFE DE PR NATHAN RIFKINSON Other name

National Provider Directory

National Provider Directory
Tax ID family
Administracion de Servicios Medicos de Puerto Rico4 organizations share this tax ID, including this one
Part of
Administracion de Servicios Medicos de Puerto Rico

Other organizations with this tax ID 3

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

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": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271980800000",
    "number": "1780901389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2129",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222129",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MONACILLOS 22 RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009222129",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO GAMMA KNIFE DE PR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADMINISTRACION DE SERVICIOS MEDICOS DE PR",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTAN",
        "authorized_official_telephone_number": "787-777-3535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAMMA KNIFE DE PR NATHAN RIFKINSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.