De Diego Ambulatory Clinic Corp
NPI 1053052852ActiveOrganization· Radiology, Body Imaging· San Juan, PR
Radiology, Body Imaging in San Juan, Puerto Rico, registered in NPPES in April 2022. The authorized official on file is William Jimenez, Billing And Collection Manager. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1053052852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Apr 5, 2022 |
| Certified by provider | Apr 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Body Imaging Primary | 2085B0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (PR) |
|---|
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