GRUPO RADIOLOGIA FAJARDO – NPI #1639383425
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

GRUPO RADIOLOGIA FAJARDO is a radiologist located in FAJARDO, PR. NPPES has assigned the NPI number 1639383425 to GRUPO RADIOLOGIA FAJARDO on May 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRUPO RADIOLOGIA FAJARDO” is a dba name, the actual legal business name for this organization is CENTRO MEDICO DEL TURABO INC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 13 years ago on Aug 12, 2013. 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 GRUPO RADIOLOGIA FAJARDO below.

NPI Profile for
CENTRO MEDICO DEL TURABO INC

NPI Number
1639383425
Enumeration Date

(more than 19 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
CENTRO MEDICO DEL TURABO INC
Doing Business As (dba): GRUPO RADIOLOGIA FAJARDO
Primary location
HIMA SAN PABLO FAJARDO
AVE GENERAL VALERO 404
FAJARDO, PR 00738
Phone: (787) 655-0505 Fax: (787) 655-5086
Mailing address
PO BOX 4980
CAGUAS, PR 00726
Phone: (787) 653-3434 Fax: (787) 961-1901
Organization Subpart
No
Authorized Official
ORLANDO RIVERA
EXECUTIVE DIRECTOR
Phone: (787) 653-3434
Updated
Identifiers

Identifiers for GRUPO RADIOLOGIA FAJARDO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSEPR8418
OTHERMEDICAL LICENSEPR12167
OTHERMEDICAL LICENSEPR4101
OTHERMEDICAL LICENSEPR8383
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
2085R0202X
- Radiology / Diagnostic Radiology (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.