Dynamic MRI and 3d CT Csp
NPI 1790915221ActiveOrganization· Clinic/Center, Radiology· Guaynabo, PR
Clinic/Center, Radiology in Guaynabo, Puerto Rico, registered in NPPES in July 2009. The authorized official on file is Nidza Cordoves, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790915221 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2009 |
| Last updated in NPPES | Oct 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Radiology Primary | 261QR0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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