Organization Active NPI

Mayaguez Advanced Radiotherapy Center

  • Radiation Therapy Radiologic Technologist
  • Mayaguez, PR
National Provider Identifier
1811932908
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X
Legal business name
MAYAGUEZ ADVANCED RADIOTHERAPY CENTER
Practice address
Ave Hostos
Centro Medico Ramon E. Betances
Mayaguez, PR 00682-6353
Phone
(787) 834-6070
Fax
(787) 834-5535
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mrs. Enid L Crespo
Title
Billing Supervision
Phone
(787) 834-6070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Therapy Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471R0002X Primary

Addresses

Primary practice location

Ave Hostos
Centro Medico Ramon E. Betances
Mayaguez, PR 00682-6353

Mailing address

PO Box 8043
Mayaguez, PR 00681-8043
Phone (787) 834-6070

Other identifiers 7

IdentifierTypeStateIssuer
592077OtherPRSER SALUD BELLA VISTA
510008OtherPRPREFERRED HEALTH
601345OtherPRMEDICARE & MUCHO MAS
3220-5OtherPRPROSAM
55-92077OtherPRPLAN DE SALUD UIA
7617OtherPRINTERNATIONAL MEDICAL CAR
900269OtherPRAMERICAN HEALTH, INC.

National Provider Directory

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": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1811932908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8043",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006818043",
            "telephone_number": "787-834-6070",
            "fax_number": "787-834-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE HOSTOS",
            "address_2": "CENTRO MEDICO RAMON E. BETANCES",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006826353",
            "telephone_number": "787-834-6070",
            "fax_number": "787-834-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYAGUEZ ADVANCED RADIOTHERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "ENID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISION",
        "authorized_official_telephone_number": "787-834-6070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SER SALUD BELLA VISTA",
            "identifier": "592077",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "510008",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE & MUCHO MAS",
            "identifier": "601345",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROSAM",
            "identifier": "3220-5",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN DE SALUD UIA",
            "identifier": "55-92077",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "7617",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH, INC.",
            "identifier": "900269",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.