J K RADIOLOGY GROUP INC


Address: Ave 181 Km 2.1, Trujillo Medical Suite 202 Y 203, Trujillo Alto, PR 00976
Phone: 7877482840

J K RADIOLOGY GROUP INC (NPI# 1013170703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013170703
Entity Type Organization
Organization Name J K RADIOLOGY GROUP INC
Other Organization Name TRUJILO ALTO IMAGING CENTER
Practice Address Ave 181 Km 2.1
Trujillo Medical Suite 202 Y 203
Trujillo Alto
PR 00976
Mailing Address Edif. N Apt. 205
Cond. Woodland
Trujillo Alto
PR 00976
Practice Telephone 7877482840
Practice Fax Number 7877482840
Mailing Telephone 7877482840
Mailing Fax Number 7877482840
Enumeration Date 2008-07-03
Last Update Date 2008-08-14
Authorized Official Name MR. JOSE J. SANTIAGO VEGA (PRESIDENT)
Authorized Official Telephone 7877482840
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PR RADIOLOGY TA0913 01

Other Provider/Organization Names

Other Name Type Code
TRUJILO ALTO IMAGING CENTER Other Name - Individual/Organization

Office Location

Street Address AVE 181 KM 2.1
TRUJILLO MEDICAL SUITE 202 Y 203
City TRUJILLO ALTO
State PR
Zip Code 00976

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City TRUJILLO ALTO
Zip Code 00976

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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