Fajardo Imaging Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

FAJARDO IMAGING INC

Practice address

316 General Valero Street
Fajardo, PR 00738

Phone

(787) 860-3400

Fax

(787) 863-2075

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Diana Fernandez, RADIOLOGIST

Title

Presidentowner

Phone

(787) 860-3400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Fernandez Garcia, MD

  • Body Imaging Physician
  • Fajardo, PR
  • NPI 1639162191
  Medicare reassignment NPD
• Ricardo Rene Rivera Fernandez, M.D.

  • Diagnostic Radiology Physician
  • Fajardo, PR
  • NPI 1609152701
  Medicare reassignment NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1871646372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "address_2": "PUERTO REAL",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380490",
            "telephone_number": "787-860-3400",
            "fax_number": "787-863-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 GENERAL VALERO STREET",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-3400",
            "fax_number": "787-863-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAJARDO IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENTOWNER",
        "authorized_official_telephone_number": "787-860-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RADIOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara L Estrada, MSW
• Expomedic Inc.
• Eyespot Vision Care Corp
• F&M Radiologist, CSP
• Fajardo Home Care Program, Inc. (Cuidado Casero Fajardo)
• Fajardo Integrated Medical Center
• Fajardo Medical LLC
• Fajardo Medical Practice
• Fajardo Medical Practice
• Fajardo Seniors Castle LLC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.