Organization Active NPI

Concordia Imaging

  • Mammography Clinic/Center
  • Ponce, PR
National Provider Identifier
1861854192
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
6655 Issued in PR
Legal business name
CONCORDIA IMAGING
Practice address
8159 Calle Concordia
Ponce, PR 00717-1551
Phone
(787) 842-2313
Fax
(787) 842-4218
NPI assigned
Mar 25, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Mrs. Grace Chaves
Title
Administrator
Phone
(787) 842-2313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 6655 PR Primary

Addresses

Primary practice location

8159 Calle Concordia
Ponce, PR 00717-1551

Mailing address

8159 Calle Concordia
Ponce, PR 00717-1551
Phone (787) 842-2313

National Provider Directory

National Provider Directory
Tax ID family
Centro de Densitometria Osea5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1861854192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8159 CALLE CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171551",
            "telephone_number": "787-842-2313",
            "fax_number": "787-842-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8159 CALLE CONCORDIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171551",
            "telephone_number": "787-842-2313",
            "fax_number": "787-842-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "CHAVES",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-842-2313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "6655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.