1518060847 NPI number — TMR DIAGNOSTIC IMAGING

Table of content: DR. DAVID SCOTT BAKER DDS (NPI 1235320417)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518060847 NPI number — TMR DIAGNOSTIC IMAGING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TMR DIAGNOSTIC IMAGING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518060847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70169
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-8169
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-274-0484
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BUSTAMANTE STREET # 550
Provider Second Line Business Practice Location Address:
DOMENECH AVE.
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-274-0484
Provider Business Practice Location Address Fax Number:
787-274-0726
Provider Enumeration Date:
09/05/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TAVERAS
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-274-0484

Provider Taxonomy Codes

  • Taxonomy code: 261QR0206X , with the licence number:  5369 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)