Individual provider Active NPI

Jose Agustin Lara del Rio, M.D.

  • Body Imaging Physician
  • San Juan, PR
National Provider Identifier
1891937314
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
19002 Issued in PR
Practice address
Asem Radiologia RCM
Centro Medico de PR Bo Monacillos
San Juan, PR 00935
Phone
(787) 777-3535
Fax
(787) 777-3858
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 19002 PR Primary
Diagnostic Radiology Physician 2085R0202X 19002 PR

Addresses

Primary practice location

Asem Radiologia RCM
Centro Medico de PR Bo Monacillos
San Juan, PR 00935

Mailing address

PO Box 29134
Radiologia RCM
San Juan, PR 00929-0134
Phone (787) 777-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127001781 PR Practitioner - Diagnostic Radiology 4082996996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

65 Infanteria Ave
Carr 3 KM 8.3
Carolina, PR 00984
Phone (787) 757-6420

Asem
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19002PRMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Nov 6, 2016 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince May 5, 2018 Accepting new patients
Oncology & Body Imaging PSC Body Imaging CurrentSince Jun 1, 2020 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Nov 6, 2016 Accepting new patients

Locations

Asem
San Juan, PR 00935

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1891937314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29134",
            "address_2": "RADIOLOGIA RCM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASEM RADIOLOGIA RCM",
            "address_2": "CENTRO MEDICO DE PR BO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-777-3535",
            "fax_number": "787-777-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA DEL RIO",
        "first_name": "JOSE",
        "middle_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "19002",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "19002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.