PREMIER NUCLEAR MEDICINE CSP (NPI# 1295017010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295017010 |
| Entity Type | Organization |
| Organization Name | PREMIER NUCLEAR MEDICINE CSP |
| Practice Address |
Hospital Ryder Memorial 355 Calle Font Martelo Humacao PR 00791-3249 |
| Mailing Address |
Urbanizacion Santa Rosa Calle 9 Blq 17 No 17 Bayamon PR 00959-6606 |
| Practice Telephone | 7878502012 |
| Practice Fax Number | 7878502012 |
| Mailing Telephone | 7874020100 |
| Mailing Fax Number | 7872946099 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MARIA E ACEVEDO (PRESIDENT) |
| Authorized Official Telephone | 7874020100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
10641 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICARE PTAN | FC340A | 01 |
| Street Address |
HOSPITAL RYDER MEMORIAL 355 CALLE FONT MARTELO |
| City | HUMACAO |
| State | PR |
| Zip Code | 00791-3249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609859206 | Juan B Villavicencio | Internal Medicine | Hospital Ryder Memorial, Humacao, PR 00792 | 2005-11-28 |
| 1538386347 | Maria Enid Carradero | Pharmacist | Hospital Ryder Memorial, Ave. Font Martelo #355, Humacao, PR 00791 | 2007-04-20 |
| 1497971303 | Maria Santiago Galarza | Pharmacist | Hospital Ryder Memorial, Ave Font Martelo 355, Humacao, PR 00792 | 2007-04-18 |
| 1649254483 | Luis R Alvarez Lugo | Internal Medicine | Hospital Ryder Memorial, Hospital Hima Humacao, Humacao, PR 00791 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234005 | Cynthia M Figueroa | Naturopath | Cond Harbour Lakes, Apt 22 C, Humacao, PR 00791 | 2020-10-30 |
| 1326648379 | Carrillo Cardiovascular Medicine LLC | Internal Medicine | Ave Font Martello 856, Hospital Ryder Suite 105, Humacao, PR 00791 | 2020-10-29 |
| 1952908030 | Gabriela Del Carmen Vaquer | Dietitian, Registered | 18 J Francheschi, Urb Pereyo, Humacao, PR 00791 | 2020-10-02 |
| 1578170932 | Ecb Humacao LLC | Optometrist | Palma Real Shopping Center, Local 2, Humacao, PR 00791 | 2020-09-29 |
| 1760097844 | Jose Juan Bertran Schuck | General Practice | Urb. El Retiro A-8, Humacao, PR 00791 | 2020-09-15 |
| 1922613199 | Luis Enrique Roman | Clinic/Center | 13 Valtierra St. Villa Franca 2 Palmas Del Mar, Humacao, PR 00791 | 2020-09-14 |
| 1851904320 | Krystle Marie Marquez | Social Worker | Bo Candelero Abajo, Sector Aniceto Cruz Calle Justina De Leon, Humacao, PR 00791 | 2020-08-25 |
| 1578196903 | Centro Clinico Vega Roman Psc | General Practice | Urb El Recreo, 46 Calle Rafael Rosario Arroyo, Humacao, PR 00791 | 2020-02-13 |
| 1841830007 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Plaza Mall Humacao, 3 Street Km. 82 Bo Rio Abajo, Humacao, PR 00791 | 2020-01-15 |
| 1831735729 | Jocelyn Delgado | Social Worker | Urb. Ciudad Cristiana Calle Panama N 41, Humacao, PR 00791 | 2019-11-26 |
| Find all providers in zip 00791 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376744615 | Ricardo Javier Sein-najera | Nuclear Medicine | Sein Medical Plaza 126 De Diego Avenue, Suite # 1, San Juan, PR 00921 | 2007-05-31 |
| 1326197088 | Atlantic Imaging Corp | Nuclear Medicine | 550 Bustamante, Domenech Ave, San Juan, PR 00919 | 2007-01-10 |
| 1437252483 | Sandra Camacho-otero | Nuclear Medicine | Calle Bustamante 550, Ave. Domenech, San Juan, PR 00919 | 2006-09-06 |
| 1770519662 | Jose Antonio Rodriguez | Nuclear Medicine | 1592 Calle Guadiana, El Cerezal, San Juan, PR 00926-3012 | 2006-06-23 |
| 1174567036 | Juan Fontanez | Nuclear Medicine | 99 Calle Ponce, Urb. Perez Morris, Hato Rey, PR 00917-5007 | 2006-06-15 |
| 1821056011 | Rene Baez | Nuclear Medicine | 2213 Bypass Ave., Ponce, PR 00717-1318 | 2006-05-04 |
| 1407826944 | Jose R. Vazquez - Selles | Nuclear Medicine | Hospital Oncologico Piso 4, Centro Medico De Puerto Rico, Bo. Monacillos, Rio Piedras, PR 00935 | 2006-01-26 |
| 1518947639 | Frieda Silva - Hernandez | Nuclear Medicine | Hospital Oncologico 4to Piso Medicina Nuclear, Centro Medico De Puerto Rico, Bo. Monacillos, Rio Piedras, PR 00935 | 2006-01-17 |
| 1538534227 | Riso Medical Services, LLC | Nuclear Medicine | Zona Industrial Victor Rojas 2, Carr 129, Arecibo, PR 00612 | 2015-12-06 |
| 1265745129 | Nucmed, Csp | Nuclear Medicine | 70 Calle Santa Cruz, Bayamon, PR 00961-7052 | 2010-07-21 |
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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.