Radiology Diagnostix PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

14572 Issued in PR

Legal business name

RADIOLOGY DIAGNOSTIX PSC

Practice address

400 Ave FD Roosevelt
Suite 101
San Juan, PR 00918-2103

Phone

(787) 529-2964

Fax

(787) 748-8895

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jose A Maldonado, M.D.

Title

President

Phone

(787) 529-2964

Specialties & licenses 1

Addresses

Other names 1

• Radiology Diagnostix Other name

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1922364447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264330",
            "telephone_number": "787-529-2964",
            "fax_number": "787-748-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT",
            "address_2": "SUITE 101",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182103",
            "telephone_number": "787-529-2964",
            "fax_number": "787-748-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY DIAGNOSTIX PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-529-2964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiology Diagnostix",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Diagnostic Radiology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.