Organization Active NPI

Instituto Radiologico de Arecibo

  • Mammography Clinic/Center
  • Arecibo, PR
National Provider Identifier
1982929212
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
01-198 Issued in PR
Legal business name
INSTITUTO RADIOLOGICO DE ARECIBO
Practice address
21 De Diego Ave.
Arecibo, PR 00612-4546
Phone
(787) 878-6213
Fax
(787) 878-4244
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Antonio Miguel Maldonado
Title
Owner
Phone
(787) 878-6213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 01-198 PR Primary

Addresses

Primary practice location

21 De Diego Ave.
Arecibo, PR 00612-4546

Mailing address

21 De Diego Ave.
Arecibo, PR 00612-4546
Phone (787) 878-6213

National Provider Directory

National Provider Directory

Locations

21 Ave Jose de Diego
Arecibo, PR 00612
Phone (787) 878-6213

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": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1982929212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DE DIEGO AVE.",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124546",
            "telephone_number": "787-878-6213",
            "fax_number": "787-878-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DE DIEGO AVE.",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124546",
            "telephone_number": "787-878-6213",
            "fax_number": "787-878-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTO RADIOLOGICO DE ARECIBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-878-6213",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "01-198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.