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MAYAGUEZ ADVANCED RADIOTHERAPY CENTER NPI 1811932908


NPI Information

NPI: 1811932908
Provider Name: MAYAGUEZ ADVANCED RADIOTHERAPY CENTER
Classification: Radiologic Technologist - 2471R0002X
Entity Type: Organization

Specialization: Radiation Therapy

CLIA Number: 40D0987714

Address:
AVE HOSTOS
CENTRO MEDICO RAMON E. BETANCES
MAYAGUEZ, PR
ZIP 00682
Phone: (787) 834-6070
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MAYAGUEZ ADVANCED RADIOTHERAPY CENTER is a radiation therapy radiologic technologist in Mayaguez, PR. The provider is a radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care. MAYAGUEZ ADVANCED RADIOTHERAPY CENTER NPI is 1811932908. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

AVE HOSTOS
CENTRO MEDICO RAMON E. BETANCES
MAYAGUEZ, PR
ZIP 00682-353
Phone: (787) 834-6070
Fax: (787) 834-5535

The provider's authorized official is Enid L Crespo .
The authorized official title is Billing Supervision and has the following contact phone number (787) 834-6070.

The CLIA number assigned to this NPI record is 40D0987714 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 10/8/2008.


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
12471R0002XRadiologic TechnologistRadiation TherapyYes

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=========OTHERPUERTO RICOMAGNA
2=========OTHERPUERTO RICOINTERNATIONAL FIRST PLUS
355-92077OTHERPUERTO RICOPLAN DE SALUD UIA
4=========OTHERPUERTO RICOMAPFRE
5=========OTHERPUERTO RICOPREFERRRED MEDICARE CHOIC
6510008OTHERPUERTO RICOPREFERRED HEALTH
7=========OTHERPUERTO RICOMEDICAL CARD SYSTEM
83220-5OTHERPUERTO RICOPROSAM
9=========OTHERPUERTO RICOMCS CLASSICARE
10592077OTHERPUERTO RICOSER SALUD BELLA VISTA
117617OTHERPUERTO RICOINTERNATIONAL MEDICAL CAR
12=========OTHERPUERTO RICOFEDERAL TAX ID NUMBER
13601345OTHERPUERTO RICOMEDICARE & MUCHO MAS
14=========OTHERPUERTO RICOPALIC
15900269OTHERPUERTO RICOAMERICAN HEALTH, INC.

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: 5/5/2024

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.