LAZOS RADIOLOGY CENTER, LLC (NPI# 1720504814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720504814 |
| Entity Type | Organization |
| Organization Name | LAZOS RADIOLOGY CENTER, LLC |
| Practice Address |
611 Calle Manuel Pavia Pavia Medical Plaza, Suite 113 San Juan PR 00910 |
| Mailing Address |
Po Box 11792 San Juan PR 00910-2892 |
| Practice Telephone | 7877270500 |
| Practice Fax Number | 7872685511 |
| Mailing Telephone | 7877270500 |
| Mailing Fax Number | 7872685511 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |
| Authorized Official Name | MRS. WILMA CORDERO GINES (MANAGER) |
| Authorized Official Telephone | 7877270500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
611 CALLE MANUEL PAVIA PAVIA MEDICAL PLAZA, SUITE 113 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326003732 | Neil Edwin Maldonado | General Practice | 611 Calle Manuel Pavia, Ste 213, San Juan, PR 00910 | 2006-04-19 |
| 1568516201 | M&p Care At Home Csp | General Practice | 611 Calle Manuel Pavia, Ste 213, San Juan, PR 00910 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929994 | Metro Santurce, Inc. | Surgery | 1462 Calle Profesor Augusto Rodriguez, Parada 22, San Juan, PR 00910 | 2020-07-07 |
| 1942767421 | Local Medical Services, Psc | General Practice | 3er Piso, 1429 Ave Fernandez Juncos, San Juan, PR 00910 | 2019-02-21 |
| 1407331655 | Mj Imaging, LLC | Nuclear Medicine | Pavia Medical Plaza Suite 113, 611 Calle Dr Manuel Pavia, Santurce, PR 00910 | 2018-10-03 |
| 1417395617 | Millenium Open Mri and Imaging Center II Psc | Radiology | 1501 Ave Fernandez Juncos Esq Pavia Suite 101, San Juan, PR 00910 | 2013-06-10 |
| 1386930972 | American Health Administration Services Inc | Specialist | Marginal Martinez Nadal Edificio Qoantum, Suite 1 A, San Juan, PR 00910 | 2011-06-22 |
| 1295050540 | Open Mri of Pr | Clinic/Center | 1501 Ave. Fndz Juncos Esq Europa Edif Betancourt, Suite 101, San Juan, PR 00910 | 2010-03-30 |
| 1134352941 | Ernesto J. Ayala-cruz | Radiology | #1462 Steer Prof.augusto Rodriguez, Toa Altasan Juan, PR 00910 | 2009-08-27 |
| 1770727240 | Milciades Romero | Ambulance | Calle 13 Esquina Calle D, San Juan, PR 00910 | 2009-04-28 |
| 1376711192 | Jose Francisco Jimenez-rosado | General Practice | Pavia Hospital, 1462 Calle Prof Augusto, San Juan, PR 00910 | 2008-02-14 |
| 1316120348 | Wanda I Llanos | Nutritionist | Calle Americo Salas #1452 (altos), Pda 22, San Juan, PR 00910 | 2007-12-13 |
| Find all providers in zip 00910 | ||||
| Taxonomy Code | 2471M2300X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902804545 | San Sebastian X Ray | Radiologic Technologist | Carr 111 Km 18.0 Bio Mahomamey, San Sebastian, PR 00685 | 2005-07-08 |
Please comment or provide details below to improve the information on LAZOS RADIOLOGY CENTER, LLC.
| 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.