Active NPI
Mayaguez Advanced Radiotherapy Center
- Radiation Therapy Radiologic Technologist
- Mayaguez, PR
National Provider Identifier
1811932908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Therapy Radiologic Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Therapy Radiologic Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 592077 | Other | PR | SER SALUD BELLA VISTA |
| 510008 | Other | PR | PREFERRED HEALTH |
| 601345 | Other | PR | MEDICARE & MUCHO MAS |
| 3220-5 | Other | PR | PROSAM |
| 55-92077 | Other | PR | PLAN DE SALUD UIA |
| 7617 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 900269 | Other | PR | AMERICAN HEALTH, INC. |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- Mayaguez, PR
- NPI 1013945286
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
- Juana I Matos
- Melinda Matos, PHARM.D.
- Mildred Matos
- Rafael Matos, M.D.
- Suheily Matos, PHARMD
- Mayaguez Alquiler Y Venta, Inc
- Mayaguez Ambulatory Surgical Center
- Mayaguez Center Drugstore Inc (Mayaguez Center Drug Store)
- Mayaguez Clinical Lab, Inc. (MAS Clinical Labs)
- Mayaguez Endocrine & Clinical Lab (Mayaguez Endocrine & Clinical Laboratory)
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.