Organization Active NPI

Southern Medical Imaging, PSC

  • Nuclear Medicine Physician
  • Coto Laurel, PR
National Provider Identifier
1992944136
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
15370 Issued in PR
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

Updated by the provider on May 12, 2015

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)CodeLicenseStatePrimary
Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207U00000X 15370 PR Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X 15370 PR
Nuclear Imaging & Therapy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0902X 15370 PR
In Vivo & In Vitro Nuclear Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0903X 15370 PR
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X 15370 PR
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X PR
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.