Organization Active NPI

Vega Baja Radiology Center LLC

  • Radiology Clinic/Center
  • Vega Baja, PR
National Provider Identifier
1932852894
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
VEGA BAJA RADIOLOGY CENTER LLC
Doing business as
Vega Baja Radiology Center LLC
Practice address
3998 Carr 2
Vega Baja, PR 00693-4140
Phone
(787) 855-2687
NPI assigned
Feb 1, 2022
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Jose Roseello Camacho
Title
Owner
Phone
(787) 649-8221

Specialties & licenses 1

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

Addresses

Primary practice location

3998 Carr 2
Vega Baja, PR 00693-4140

Mailing address

3998 Carr 2
Vega Baja, PR 00693-4140
Phone (787) 855-2687

Other names 1

  • VEGA BAJA RADIOLOGY CENTER LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728001037 PR Part B Supplier - Clinic/Group Practice 2264814920 Receives reassigned benefits from 3 practitioners
Practice locations: Vega Baja, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1932852894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 CARR 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934140",
            "telephone_number": "787-855-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 CARR 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934140",
            "telephone_number": "787-855-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA BAJA RADIOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "ROSEELLO CAMACHO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-649-8221"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VEGA BAJA RADIOLOGY CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.