Lab Medicina Nuclear PSC

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

111046 Issued in PR

Legal business name

LAB MEDICINA NUCLEAR PSC

Practice address

1St Piso Centro Cardiovascular
Centro Medica
SJ, PR 00935

Phone

(787) 751-4222

Fax

(787) 751-4180

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carols E Jimenez

Title

President

Phone

(787) 751-4222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos E Jimenez, MD

  • Nuclear Medicine Physician
  • San Juan, PR
  • NPI 1609841667
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1801065610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 382 1353 RD 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-751-4222",
            "fax_number": "787-751-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST PISO CENTRO CARDIOVASCULAR",
            "address_2": "CENTRO MEDICA",
            "city": "SJ",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-751-4222",
            "fax_number": "787-751-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB MEDICINA NUCLEAR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "CAROLS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-751-4222",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "111046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A R Med Transport
• Shelley Lynette Wolfe, PH. D

• Nuclear Medicine Physician in SJ, PR
• Providers in SJ, PR by specialty
• Nuclear Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.