Active NPI
Padma Imaging Center
- Diagnostic Radiology Physician
- San Juan, PR
National Provider Identifier
1801294210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PADMA IMAGING CENTER
- Practice address
- 482 Calle Cesar Gonzalez
San Juan, PR 00918-2627 - Phone
- (787) 751-5685
- NPI assigned
- Dec 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Costa Soto
- Title
- Propietaria
- Phone
- (787) 486-9898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
482 Calle Cesar Gonzalez
San Juan, PR 00918-2627
Mailing address
Urbanizacion El Retiro
85 Agricultura
Caguas, PUERTO RICO 00725
UM
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1317452 | Other | LICENCIA CONDUCIR |
National Provider Directory
National Provider DirectoryLocations
482 Calle Cesar Gonzalez
San Juan, PR 00918
Phone (787) 751-5685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418774400000",
"number": "1801294210",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "URBANIZACION EL RETIRO",
"address_2": "85 AGRICULTURA",
"city": "CAGUAS",
"state": "PUERTO RICO",
"postal_code": "00725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 CALLE CESAR GONZALEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182627",
"telephone_number": "787-751-5685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PADMA IMAGING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A",
"authorized_official_last_name": "COSTA SOTO",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "PROPIETARIA",
"authorized_official_telephone_number": "787-486-9898"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCIA CONDUCIR",
"identifier": "1317452",
"state": null
}
],
"endpoints": [],
"other_names": []
}
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 Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.