Organization Active NPI

Nuclear Cardiology Imaging

  • Nuclear Medicine Physician
  • San Juan, PR
National Provider Identifier
1962471599
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
8643 Issued in PR
Legal business name
NUCLEAR CARDIOLOGY IMAGING
Practice address
1396 San Fafael St
Medical Pavilion Suite 16
San Juan, PR 00909-2526
Phone
(787) 725-0700
Fax
(787) 725-5210
NPI assigned
Mar 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Dr. Marcos Devarie, M.D.
Title
President
Phone
(787) 725-0700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 5544 PR
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X 8643 PR Primary

Addresses

Primary practice location

1396 San Fafael St
Medical Pavilion Suite 16
San Juan, PR 00909-2526

Mailing address

1396 San Fafael St
Medical Pavilion Suite 16
San Juan, PR 00909-2526
Phone (787) 725-0700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1962471599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 SAN FAFAEL ST",
            "address_2": "MEDICAL PAVILION SUITE 16",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092526",
            "telephone_number": "787-725-0700",
            "fax_number": "787-725-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 SAN FAFAEL ST",
            "address_2": "MEDICAL PAVILION SUITE 16",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092526",
            "telephone_number": "787-725-0700",
            "fax_number": "787-725-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCLEAR CARDIOLOGY IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "DEVARIE",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-725-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "5544",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "8643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.