MODERN RADIOLOGY PSC NPI 1750645107

NPI Information

  • NPI: 1750645107
  • Provider Name: MODERN RADIOLOGY, PSC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 300 AVE FELISA RINCON
    72 VISTAS SHOPPING VILLAGE
    SAN JUAN, PR
    ZIP 00926
  • Phone: (787) 709-4337

Map and Directions

Get Directions

NPI Details

MODERN RADIOLOGY, PSC is a diagnostic radiology radiology in San Juan, PR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MODERN RADIOLOGY, PSC NPI is 1750645107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 AVE FELISA RINCON
72 VISTAS SHOPPING VILLAGE
SAN JUAN, PR
ZIP 00926-088
Phone: (787) 709-4337

The provider's authorized official is Gamalier Bermudez Ruiz .
The authorized official title is President and has the following contact phone number (787) 848-8834.

The enumeration date for this NPI number is 6/30/2012 and was last updated on 6/30/2012.

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
12085R0202XRadiologyDiagnostic RadiologyRX4816PUERTO 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
1RX4816OTHERPUERTO RICOPROVIDER LICENSE NUMBER
21306804752OTHERPUERTO RICONPI
3CW035ZMEDICARE PINPUERTO 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: 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.