NPIMap

Organization Active NPI

San Pablo Developers Inc

  • Ambulatory Surgical Clinic/Center
  • Bayamon, PR
National Provider Identifier
1861703464
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SAN PABLO DEVELOPERS INC
Practice address
Street 70 Edificio Dr Arturo Cadilla
Suite 102
Bayamon, PR 00960-0102
Phone
(787) 269-2442
Fax
(787) 785-9558
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Juan M Pagan, MHSA
Title
Administrator
Phone
(787) 269-2442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

Street 70 Edificio Dr Arturo Cadilla
Suite 102
Bayamon, PR 00960-0102

Mailing address

PO Box 1186
Bayamon, PR 00960-1186
Phone (787) 269-2442

Other names 1

  • ADVANCED IMAGING INTERVENTIONAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226000937 PR Part B Supplier - Ambulatory Surgical Center 2860451218 Receives reassigned benefits from 4 practitioners
Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Advanced Imaging Interventional Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1861703464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1186",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601186",
            "telephone_number": "787-269-2442",
            "fax_number": "787-785-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 70 EDIFICIO DR ARTURO CADILLA",
            "address_2": "SUITE 102",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600102",
            "telephone_number": "787-269-2442",
            "fax_number": "787-785-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO DEVELOPERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-269-2442",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED IMAGING INTERVENTIONAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED IMAGING INTERVENTIONAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.