Modern Radiology,PSC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

4816 Issued in PR

Legal business name

MODERN RADIOLOGY,PSC

Practice address

9176 Calle Marina
Ponce, PR 00717-1582

Phone

(787) 843-1625

Fax

(787) 843-1723

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gamalier Bermudez-Ruiz, MD

Title

President

Phone

(787) 843-1625

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1952425100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7346",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327346",
            "telephone_number": "787-841-1949",
            "fax_number": "787-812-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9176 CALLE MARINA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171582",
            "telephone_number": "787-843-1625",
            "fax_number": "787-843-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RADIOLOGY,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ-RUIZ",
        "authorized_official_first_name": "GAMALIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-843-1625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "4816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro A Miro Sotomayor, MD
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• Fernando Andres Moctezuma Pagan
• Modern Spine Chiropractic LLC
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• Faris Abdeljalil Mohamed Dar Hamed
• Nesrin A Mohamed Dar Hamed
• Francheska Mojica Franceschi

• Body Imaging Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Body Imaging Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.