Organization Active NPI

Centro Imagenes Manati Yvf PSC

  • Diagnostic Radiology Physician
  • Manati, PR
National Provider Identifier
1871836247
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRO IMAGENES MANATI YVF PSC
Practice address
Calle Marginal B1 Urb San Salvador
Manati, PR 00674-4906
Phone
(787) 854-1818
NPI assigned
Apr 3, 2013
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Yadira Vazquez, MD
Title
President
Phone
(787) 854-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

Calle Marginal B1 Urb San Salvador
Manati, PR 00674-4906

Mailing address

PO Box 256
Manati, PR 00674-0256
Phone (787) 854-1818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000634 PR Part B Supplier - Clinic/Group Practice 7911144092 Receives reassigned benefits from 1 practitioner
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1871836247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740256",
            "telephone_number": "787-854-1818",
            "fax_number": "787-854-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL B1 URB SAN SALVADOR",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744906",
            "telephone_number": "787-854-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO IMAGENES MANATI YVF PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-854-1818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.