Organization Active NPI

Quality Imaging Medical Diagnostic, Inc.

  • Diagnostic Radiology Physician
  • Toa Baja, PR
National Provider Identifier
1811964422
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
80189 Issued in PR
Legal business name
QUALITY IMAGING MEDICAL DIAGNOSTIC, INC.
Practice address
JR1 Calle Lizzie Graham
7Ma Secc Levittown
Toa Baja, PR 00949-3637
Phone
(787) 780-0991
Fax
(787) 785-0844
NPI assigned
Mar 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Carlos M Pentzke, M.D.
Title
President
Phone
(787) 780-0991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 80189 PR
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 80189 PR Primary

Addresses

Primary practice location

JR1 Calle Lizzie Graham
7Ma Secc Levittown
Toa Baja, PR 00949-3637

Mailing address

PO Box 56378
Bayamon, PR 00960-6878
Phone (787) 780-0991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1811964422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56378",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009606878",
            "telephone_number": "787-780-0991",
            "fax_number": "787-785-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JR1 CALLE LIZZIE GRAHAM",
            "address_2": "7MA SECC LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009493637",
            "telephone_number": "787-780-0991",
            "fax_number": "787-785-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY IMAGING MEDICAL DIAGNOSTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PENTZKE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "80189",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "80189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.