1992981005 NPI number — HHM RADIOLOGY

Table of content: (NPI 1992981005)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992981005 NPI number — HHM RADIOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HHM RADIOLOGY
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:
1992981005
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 29460
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:
00929-0460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-740-3010
Provider Business Mailing Address Fax Number:
787-740-3009

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
65 TH AVENUE MARGINAL # 8
Provider Second Line Business Practice Location Address:
RIO PIEDRAS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-740-3010
Provider Business Practice Location Address Fax Number:
787-740-3009
Provider Enumeration Date:
01/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
CONCEPCION
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
L
Authorized Official Title or Position:
BILLING SUPERVISOR
Authorized Official Telephone Number:
787-740-3010

Provider Taxonomy Codes

  • Taxonomy code: 171R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 85051 . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com