STAT MOBILE DIAGNOSTIC IMAGING GROUP LLC (NPI# 1144820820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144820820 |
| Entity Type | Organization |
| Organization Name | STAT MOBILE DIAGNOSTIC IMAGING GROUP LLC |
| Practice Address |
Metro Park 7, Street # 1 Suite 305 Guaynabo PR 00968 |
| Mailing Address |
619 S Midway Dr Escondido CA 92027-4003 |
| Practice Telephone | 7874939366 |
| Practice Fax Number | 8888555723 |
| Mailing Telephone | 6192798172 |
| Mailing Fax Number | 8888555723 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | YANET BERON (PRESIDENT) |
| Authorized Official Telephone | 7547772986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
METRO PARK 7, STREET # 1 SUITE 305 |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291300 | Smart Assistance Services Inc. | Non-emergency Medical Transport (VAN) | Calle 1, Metro Office Park 8, Suite 306, Guaynabo, PR 00968 | 2020-10-07 |
| 1245845064 | Felix Guerra | Pharmacist | 1 Ave Roosevelt, Guaynabo, PR 00968 | 2020-09-09 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1427691146 | Janice Gonzalez-sanchez | Psychologist | San Patricio Office Center, Calle Tabonuco 7 Suite 104, Guaynabo, PR 00968 | 2019-10-25 |
| 1548802853 | Freddie Boria Sr. | Ambulance | 100 Carr. 165 Centro Internacional De Mercadeo, Suite 409, Guaynabo, PR 00968 | 2019-10-09 |
| 1689238404 | Clinica Terapeutica Mon Quiromasaje, Psc | Massage Therapist | City View Plaza 48 Pr 165, Torre I Suite P 100, Guaynabo, PR 00968 | 2019-04-26 |
| 1831673573 | United Three Brothers Inc. | Pharmacy | 1498 Avenida Roosevelt Local 19a, Plaza Caparra Shopping Center, Guaynabo, PR 00968 | 2018-09-19 |
| 1649762378 | Citywide Group, Inc. | Ambulance | 100 Carr 165 Centro Internacional De Mercadeo, Suite 409, Guaynabo, PUERTO RICO 00968 | 2018-05-30 |
| 1063919124 | Centro De Reconstruccion Oral E Implantes | Clinic/Center | Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968 | 2018-04-06 |
| 1295247211 | 3 Plus Management | Exclusive Provider Organization | Centro Internacional De Mercadeo Torre II, Suite 402, Guaynabo, PR 00968 | 2017-10-31 |
| Find all providers in zip 00968 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318054 | Cardio Vasc Imaging Corp. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 35 Calle Baldorioty Esquina Francisco Sustache, Yabucoa, PR 00767 | 2018-06-05 |
| 1548570211 | Centro Radiologico Shalom Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Carr 2 Km101.6 Bo Terranvova, Marginal Del Parque, Quebradillas, PR 00678-0000 | 2010-10-15 |
| 1386763134 | Centro De Diagnostico Y Tratamiento Dr. Caparros Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Calle Betances, Utuado, PR 00641-2932 | 2007-03-29 |
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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.