Active NPI
Imed Radiology
- Radiology Clinic/Center
- Arecibo, PR
National Provider Identifier
1861696403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- IMED RADIOLOGY
- Practice address
- 52 Ave Jose de Diego
Arecibo, PR 00612-4503 - Phone
- (787) 878-2730
- NPI assigned
- Jun 14, 2007
- 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
- Mr. Manuel Mongil
- Title
- Secretqary
- Phone
- (787) 633-7442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
52 Ave Jose de Diego
Arecibo, PR 00612-4503
Mailing address
C15 Calle Platero
San Juan, PR 00926-7608
Phone (787) 633-7442
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861696403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C15 CALLE PLATERO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009267608",
"telephone_number": "787-633-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 AVE JOSE DE DIEGO",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124503",
"telephone_number": "787-878-2730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMED RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MONGIL",
"authorized_official_first_name": "MANUEL",
"authorized_official_title_or_position": "SECRETQARY",
"authorized_official_telephone_number": "787-633-7442",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.