Active NPI
Nuclear Cardiology Imaging
- Nuclear Medicine Physician
- San Juan, PR
National Provider Identifier
1962471599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 8643
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5544 | PR | |
| Nuclear Medicine Physician | 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 DirectoryPractitioners & 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.