MEDICAL X RAY CENTER PONCE NPI 1689998643

NPI Information

NPI: 1689998643
Provider Name: MEDICAL X RAY CENTER PONCE

Former Legal Business Name: JOSE A. RIVERA

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
509 AVE TITO CASTRO
PONCE, PR
ZIP 00716
Phone: (787) 840-5090
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MEDICAL X RAY CENTER PONCE is a radiology clinic center in Ponce, PR. MEDICAL X RAY CENTER PONCE NPI is 1689998643. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jose A. Rivera.

The provider's business location address is:

509 AVE TITO CASTRO
PONCE, PR
ZIP 00716-207
Phone: (787) 840-5090
Fax: (787) 840-5090

The provider's authorized official is Jose A Rivera Rivera .
The authorized official title is Owner and has the following contact phone number (787) 615-3318.

The enumeration date for this NPI number is 3/19/2010 and was last updated on 10/2/2012.

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
1	261QR0200X	Clinic/Center	Radiology			Yes

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
1	G06610	MEDICARE UPIN	PUERTO RICO

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: 4/28/2024

NPI Synchronization or Removal

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