Organization Active NPI

Municipio de Guayanilla

Doing business as Radiologia CDTIsaias Rodriguez Lopez

  • Radiology Clinic/Center
  • Guayanilla, PR
National Provider Identifier
1902136609
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MUNICIPIO DE GUAYANILLA
Doing business as
Radiologia CDTIsaias Rodriguez Lopez
Practice address
13 Calle Jose de Diego
Guayanilla, PR 00656-0550
Phone
(787) 835-5366
Fax
(787) 835-5366
NPI assigned
Jan 4, 2010
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNICIPIO DE GUAYANILLAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Mr. Edgardo Arlequin
Title
County Mayor
Phone
(787) 835-6605

Specialties & licenses 1

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

Addresses

Primary practice location

13 Calle Jose de Diego
Guayanilla, PR 00656-0550

Mailing address

13 Calle Jose de Diego
Guayanilla, PR 00656-0550
Phone (787) 835-5366

Other names 1

  • Radiologia CDTIsaias Rodriguez Lopez Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100719000895 PR Part B Supplier - Clinic/Group Practice 7113932328 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
Practice locations: Guayanilla, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Municipio de Guayanilla

Practitioners & affiliated clinicians

Practitioners 11

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": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1902136609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CALLE JOSE DE DIEGO",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560550",
            "telephone_number": "787-835-5366",
            "fax_number": "787-835-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CALLE JOSE DE DIEGO",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560550",
            "telephone_number": "787-835-5366",
            "fax_number": "787-835-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPIO DE GUAYANILLA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNICIPIO DE GUAYANILLA",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "ARLEQUIN",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "COUNTY MAYOR",
        "authorized_official_telephone_number": "787-835-6605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiologia CDTIsaias Rodriguez Lopez",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayanilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.