PREMIER NUCLEAR MEDICINE CSP NPI 1295017010

NPI Information

  • NPI: 1295017010
  • Provider Name: PREMIER NUCLEAR MEDICINE CSP
  • Classification: Nuclear Medicine - 207UN0902X
  • Specialization: Nuclear Imaging & Therapy
  • Entity Type: Organization
  • Address: HOSPITAL RYDER MEMORIAL
    355 CALLE FONT MARTELO
    HUMACAO, PR
    ZIP 00791
  • Phone: (787) 850-2012

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NPI Details

PREMIER NUCLEAR MEDICINE CSP is a nuclear imaging and therapy nuclear medicine in Humacao, PR. The provider is a nuclear medicine physician who specializes in nuclear imaging and therapy. PREMIER NUCLEAR MEDICINE CSP NPI is 1295017010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

HOSPITAL RYDER MEMORIAL
355 CALLE FONT MARTELO
HUMACAO, PR
ZIP 00791-249
Phone: (787) 850-2012
Fax: (787) 850-2012

The provider's authorized official is Maria E Acevedo .
The authorized official title is President and has the following contact phone number (787) 402-0100.

The enumeration date for this NPI number is 9/19/2011 and was last updated on 6/1/2020.

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
1207UN0902XNuclear MedicineNuclear Imaging & Therapy10641PUERTO RICOYes

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
1FC340AOTHERPUERTO RICOMEDICARE PTAN

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

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