NPIMap

Organization Active NPI

Centro Radiologico Dr. Enrique Koppish

  • Radiology Clinic/Center
  • San Juan, PR
National Provider Identifier
1861762841
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
5 Issued in PR
Legal business name
CENTRO RADIOLOGICO DR. ENRIQUE KOPPISH
Practice address
Ave Barbosa #404 Esq Sicilia
San Juan, PR 00923
Phone
(787) 480-3841
Fax
(787) 977-0544
NPI assigned
Jan 6, 2012
Organization subpart
Yes
Parent organization
CDT DR. ENRIQUE KOPPISHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Maritza Vega de Jesus, MBH HCM
Title
Executive Sub Director
Phone
(787) 480-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 5 PR Primary

Addresses

Primary practice location

Ave Barbosa #404 Esq Sicilia
San Juan, PR 00923

Mailing address

Ave Barbosa #404 Esq Sicilia
San Juan, PR 00923
Phone (787) 480-3841

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr a J Garcia63 organizations share this tax ID, including this one
Part of
CDT Dr a J Garcia

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1861762841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE BARBOSA #404 ESQ SICILIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-480-3841",
            "fax_number": "787-977-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BARBOSA #404 ESQ SICILIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-480-3841",
            "fax_number": "787-977-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO DR. ENRIQUE KOPPISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDT DR. ENRIQUE KOPPISH",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "VEGA DE JESUS",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "EXECUTIVE SUB DIRECTOR",
        "authorized_official_telephone_number": "787-480-3841",
        "authorized_official_credential": "MBH  HCM"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.