PROFESIONAL IMAGING CT CENTER (NPI# 1558395145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558395145 |
| Entity Type | Organization |
| Organization Name | PROFESIONAL IMAGING CT CENTER |
| Practice Address |
1822 Ave Ponce De Leon Pda. 26 Santurce San Juan PR 00909-1906 |
| Mailing Address |
Po Box 8410 San Juan PR 00910-0410 |
| Practice Telephone | 7877275858 |
| Practice Fax Number | 7877275960 |
| Mailing Telephone | 7877275858 |
| Mailing Fax Number | 7877275960 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VICTOR R MERCADO (PRESIDENT) |
| Authorized Official Telephone | 7872680101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1822 AVE PONCE DE LEON PDA. 26 SANTURCE |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487106860 | San Juan Vascular Institute, LLC | Clinic/Center | 115 Fd Roosevelt Avenue, Marginal, San Juan, PR 00917 | 2016-11-01 |
| 1144693391 | Integrate Community Health System | Clinic/Center | El Vedado 426, Agueybana Street, San Juan, PR 00918 | 2015-11-10 |
| 1568854677 | Metropolitan Mri Associates, Psc | Clinic/Center | T3-2 Carr. 21, Urb Las Lomas, San Juan, PR 00921 | 2015-02-26 |
| 1598155798 | Montehiedra Ct & Mri Center LLC | Clinic/Center | Montehiedra Town Center Suite 205, Ave Los Romeros, San Juan, PR 00926-0000 | 2015-01-27 |
| 1952735664 | San Francisco Nuclear Imaging, LLC | Clinic/Center | De Diego Ave 126, Sein Medical Plaza, Suite 5, San Juan, PR 00936-1077 | 2013-08-29 |
| 1700144912 | San Francisco Health System Inc. | Clinic/Center | Carr. 199 Km 0.3, Ave. Las Cumbres, San Juan, PR 00926 | 2012-04-25 |
| 1639449572 | Grupo Radiologico Dr. Manuel Quevedo Baez | Clinic/Center | Calle San Agustin #359 Puerta De Tierra, San Juan, PR 00901 | 2012-01-10 |
| 1396015236 | Grupo Radiologico Dr. Arnaldo J Garcia | Clinic/Center | Calle Flor Antillana Residencial Llorens Torres, San Juan, PR 00913 | 2012-01-10 |
| 1861762841 | Centro Radiologico Dr. Enrique Koppish | Clinic/Center | Ave Barbosa #404 Esq Sicilia, San Juan, PR 00923 | 2012-01-06 |
| 1225308208 | Grupo Radiologico Dr Lopez Antogiorgi | Clinic/Center | Calle 25 Ne # 333 Puerto Nuevo, San Juan, PR 00920 | 2012-01-06 |
| Find all providers in SAN JUAN | ||||
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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.