NUCLEAR RADIOLOGY CSP NPI 1104030972

NPI Information

  • NPI: 1104030972
  • Provider Name: NUCLEAR RADIOLOGY, CSP
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: HOSP AUXILIO MUTUO, 715 AVE PONCE DE LEON, PDA 37 1/2
    EDIF NINO DIVINO JESUS, CENTRO IMAGENES DE LA MUJER
    HATO REY, PR
    ZIP 00917
  • Phone: (787) 474-8878

Map and Directions

Get Directions

NPI Details

NUCLEAR RADIOLOGY, CSP is a diagnostic radiology radiology in Hato Rey, PR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCLEAR RADIOLOGY, CSP NPI is 1104030972. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

HOSP AUXILIO MUTUO, 715 AVE PONCE DE LEON, PDA 37 1/2
EDIF NINO DIVINO JESUS, CENTRO IMAGENES DE LA MUJER
HATO REY, PR
ZIP 00917
Phone: (787) 474-8878
Fax: (787) 771-7445

The provider's authorized official is Rafael A Vaquer .
The authorized official title is President and has the following contact phone number (787) 474-8878.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1EC962AOTHERPUERTO RICOPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.