CENTRO NEURODIAGNOSTICO, INC. (NPI# 1093041444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093041444 |
| Entity Type | Organization |
| Organization Name | CENTRO NEURODIAGNOSTICO, INC. |
| Practice Address |
A2 Calle Lodi Villa Luarca San Juan PR 00924-3804 |
| Practice Telephone | 7877515955 |
| Practice Fax Number | 7877670516 |
| Mailing Telephone | 7877515955 |
| Mailing Fax Number | 7877670516 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Authorized Official Name | NORMA E AGOSTO (PRESIDENT) |
| Authorized Official Telephone | 7877515955 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | 4731 | PR | Laboratories |
| Street Address |
A2 CALLE LODI VILLA LUARCA |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00924-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531206 | Norma E Agosto-maury | Psychiatry & Neurology | A2 Calle Lodi, Urb Villa Luarca, San Juan, PR 00924 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081780 | A R Quinones, Md LLC | Clinic/Center | 939 Campo Rico Ave, San Juan, PR 00924 | 2020-10-21 |
| 1861099947 | Anthony Vives De Leon | Psychologist | Iturregui Plaza Shopping Center, 1135 Avenida 65 De Infanteria, Ste 215-a, San Juan, PR 00924 | 2020-10-02 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1124634324 | Kristian Nagel Ortiz Colon | Occupational Therapy Assistant | Villa Capri Verona 1180, San Juan, PR 00924 | 2020-09-22 |
| 1093327439 | Axel David Reyes Vazquez | Student in an Organized Health Care Education/Training Program | Calle Juan Pena Reyes #977, Condominio Sabana Village, San Juan, PR 00924 | 2020-08-18 |
| 1518576370 | Edison Yadiel Martinez Monegro | Student in an Organized Health Care Education/Training Program | Parcelas Falu Calle 36 #304, San Juan, PR 00924 | 2020-07-28 |
| 1851914766 | Jorge Rafael Santiago Jordi | Student in an Organized Health Care Education/Training Program | Madagascar 767 Country Club, San Juan, PR 00924 | 2020-05-26 |
| 1265066120 | Rootcanals To Go Psc | Dentist | Villa Capri, 585 Calle Lodi, San Juan, PR 00924 | 2020-02-28 |
| 1467009688 | Advanced Psychoeducational Services Inc | Psychologist | Avenida 65th Infanteria, Ext San Agustin # 362, San Juan, PR 00924 | 2019-08-22 |
| 1770130361 | Fatima M Martinez | Psychologist | Avenida 65th Infanteria Ext San Agustin, 362, San Juan, PR 00924 | 2019-08-20 |
| Find all providers in zip 00924 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306151956 | Servicios Patologicos De Manati | Physiological Laboratory | 400 Calle Kalaf, Pmb 59, San Juan, PR 00918-1314 | 2010-08-06 |
| 1801007794 | Cardiovascular Medical Diagnostic Services | Physiological Laboratory | Urb. Berwind Estates, Calle 17 T-9, San Juan, PR 00924 | 2007-05-24 |
| 1144362088 | Domenech Vascular Laboratory Inc | Physiological Laboratory | 405a Calle Montilla, Urb Parque Central, San Juan, PR 00918-2607 | 2007-02-13 |
| 1952315657 | Global Diagnostics, Inc | Physiological Laboratory | 848 Calle Hostos, Urb. Hyde Park, San Juan, PR 00927-4216 | 2006-07-28 |
| 1972566537 | Centro Neurobiofisiologico De Pr | Physiological Laboratory | 461 Calle America, Esq Francia, San Juan, PR 00917-3208 | 2006-04-06 |
| 1710186341 | Ashford Sports & Wellness Medicine Center | Physiological Laboratory | 1451 Ashford, San Juan, PR 00907-1511 | 2007-07-13 |
| 1588707012 | Vascular Interpretation Group Psc | Physiological Laboratory | 405a Calle Montilla, Urb Parque Central, San Juan, PR 00918-2607 | 2007-02-15 |
| 1396826780 | Meditest Diagnostic | Physiological Laboratory | 700 Calle Dr Pavia Fernandez, Ave. Fernandez Juncos Suite 201, San Juan, PR 00909-2758 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820820 | Stat Mobile Diagnostic Imaging Group LLC | Physiological Laboratory | Metro Park 7, Street # 1, Suite 305, Guaynabo, PR 00968 | 2020-10-30 |
| 1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
| 1760908727 | Diagnostic Cardiovascular Center LLC | Physiological Laboratory | A4 Calle Saboya, Villa Del Rey 3ra Seccion, Caguas, PR 00726 | 2017-08-21 |
| 1982067773 | Cormed LLC | Physiological Laboratory | 7 Metro Office Park, Suite 204, Guaynabo, PR 00968 | 2016-03-30 |
| 1114319183 | Vascular Diagnostic Group Corp Psc | Physiological Laboratory | Res Villa Del Rey # 3, Saboya A4, Caguas, PR 00725-7113 | 2015-02-26 |
| 1659659654 | Ponce De Leon Medical Diagnostic | Physiological Laboratory | Calle Bromelia 8 Parque De Bucarest, Guaynabo, PR 00969-0000 | 2011-07-26 |
| 1497936868 | R & R Ultrasound Center Corp. | Physiological Laboratory | Calle Munoz Rivera 136, Suite 5, Guayanilla, PR 00656-4355 | 2007-11-14 |
| 1992993208 | Borinqen Ultrasound, Inc. | Physiological Laboratory | Urb Santa Rosa Bloque 16 # 34, Bayamon, PR 00959 | 2007-10-11 |
| 1356535462 | Centro Tecnico Cardiovascular Y Periferovascular | Physiological Laboratory | Center for Medical Specialities, Road 693 Km. 5.8, Dorado, PR 00949 | 2007-08-31 |
| 1093905317 | Evelyn Diaz | Physiological Laboratory | Carr693 Km5.8 Center for Medical Specialtes Building A, Dorado, PR 00646 | 2007-08-01 |
| Find all providers with the same taxonomy | ||||
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| 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.