DE DIEGO AMBULATORY CLINIC CORP – NPI #1053052852
Radiology

A Radiology doctor of Osteopathy that specializes in Body Imaging.

DE DIEGO AMBULATORY CLINIC CORP is a radiologist located in SAN JUAN, PR. NPPES has assigned the NPI number 1053052852 to DE DIEGO AMBULATORY CLINIC CORP on April 05, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085B0100X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Body Imaging

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DE DIEGO AMBULATORY CLINIC CORP below.

NPI Profile for
DE DIEGO AMBULATORY CLINIC CORP

NPI Number
1053052852
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DE DIEGO AMBULATORY CLINIC CORP
Primary location
150 AVE DE DIEGO STE 1
SAN JUAN, PR 00907-2309
Phone: (787) 977-7575 Fax: (787) 977-7586
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WILLIAM JIMENEZ
BILLING AND COLLECTION MANAGER
Phone: (787) 977-7575
Updated
Certification Date
Apr 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085B0100X
- Radiology / Body Imaging (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.