Active NPI
Southern Medical Imaging, PSC
- Nuclear Medicine Physician
- Coto Laurel, PR
National Provider Identifier
1992944136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 15370
- Legal business name
- SOUTHERN MEDICAL IMAGING, PSC
- Practice address
- 227 Calle Isabel
Mansion Real
Coto Laurel, PR 00780-2601 - Phone
- (787) 848-4624
- NPI assigned
- Feb 11, 2009
- 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. Adrian A. Alvarez de la Campa, MD
- Title
- President
- Phone
- (787) 848-4624
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 15370 | PR | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 15370 | PR | |
| Nuclear Imaging & Therapy Physician | 207UN0902X | 15370 | PR | |
| In Vivo & In Vitro Nuclear Medicine Physician | 207UN0903X | 15370 | PR | |
| Nuclear Radiology Physician | 2085N0904X | 15370 | PR | |
| Radiation Oncology Physician | 2085R0001X | PR | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
227 Calle Isabel
Mansion Real
Coto Laurel, PR 00780-2601
Mailing address
227 Calle Isabel
Mansion Real
Coto Laurel, PR 00780-2601
Phone (787) 848-4624
Other names 1
- Adrian A. Alvarez de la Campa, PSC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431388800000",
"number": "1992944136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 CALLE ISABEL",
"address_2": "MANSION REAL",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802601",
"telephone_number": "787-848-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 CALLE ISABEL",
"address_2": "MANSION REAL",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802601",
"telephone_number": "787-848-4624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL IMAGING, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-11",
"last_updated": "2015-05-12",
"status": "A",
"authorized_official_last_name": "ALVAREZ DE LA CAMPA",
"authorized_official_first_name": "ADRIAN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-848-4624",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine",
"state": "PR",
"license": "15370",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PR",
"license": "15370",
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "PR",
"license": "15370",
"primary": false
},
{
"code": "207UN0903X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, In Vivo & In Vitro Nuclear Medicine",
"state": "PR",
"license": "15370",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": "PR",
"license": "15370",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "PR",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adrian A. Alvarez de la Campa, PSC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Coto Laurel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.