Organization Active NPI

Toa Alta X-Ray & Imaging Services LLC

  • Mammography Clinic/Center
  • Toa Alta, PR
National Provider Identifier
1902258031
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
TOA ALTA X-RAY & IMAGING SERVICES LLC
Practice address
9 Calle Antonio R Barcelo
Toa Alta, PR 00953-2444
Phone
(787) 998-5055
Fax
(787) 870-8300
NPI assigned
Jul 13, 2016
Last updated
Oct 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Dr. Luis A Rodriguez, MDNPI 1871582072
Title
Sole Member
Phone
(787) 998-5055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9 Calle Antonio R Barcelo
Toa Alta, PR 00953-2444

Mailing address

PO Box 364964
San Juan, PR 00936-4964
Phone (787) 998-5055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170227002200 PR Part B Supplier - Clinic/Group Practice 2668756271 Receives reassigned benefits from 1 practitioner
Practice locations: Toa Alta, PR

National Provider Directory

National Provider Directory

Locations

9 Calle Antonio R Barcelo
Toa Alta, PR 00953
Phone (787) 870-3245

Practitioners & affiliated clinicians

Practitioners 1

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": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1902258031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364964",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364964",
            "telephone_number": "787-998-5055",
            "fax_number": "787-870-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CALLE ANTONIO R BARCELO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532444",
            "telephone_number": "787-998-5055",
            "fax_number": "787-870-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOA ALTA X-RAY & IMAGING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "787-998-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toa Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.