Innova Radiology Services,PSC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

13263 Issued in PR

Legal business name

INNOVA RADIOLOGY SERVICES,PSC

Practice address

162 Calle Begonia
Ciudad Jardin 2
Toa Alta, PR 00953-4855

Phone

(787) 404-2424

Fax

(787) 269-5212

NPI assigned

Dec 15, 2008

Last updated

Dec 15, 2008By 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

Marisol Ortiz Santiago, RN

Title

Secretary

Phone

(787) 404-2424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1801031174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CALLE BEGONIA",
            "address_2": "CIUDAD JARDIN 2",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534855",
            "telephone_number": "787-404-2424",
            "fax_number": "787-269-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CALLE BEGONIA",
            "address_2": "CIUDAD JARDIN 2",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009534855",
            "telephone_number": "787-404-2424",
            "fax_number": "787-269-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA RADIOLOGY SERVICES,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "ORTIZ SANTIAGO",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-404-2424",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "13263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Toa Alta, 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 Dec 15, 2008; 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.