De Diego Ambulatory Clinic Corp
NPI 1053052852 · Body Imaging Physician · San Juan, PR
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
De Diego Ambulatory Clinic Corp is a Body Imaging Physician organization in San Juan, PR (NPI 1053052852).
Provider details
- NPI number
- 1053052852
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Jimenez, Billing and Collection Manager(787) 977-7575
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-05
Frequently asked questions
- What is De Diego Ambulatory Clinic Corp's NPI number?
- De Diego Ambulatory Clinic Corp's National Provider Identifier (NPI) is 1053052852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is De Diego Ambulatory Clinic Corp?
- De Diego Ambulatory Clinic Corp is classified in the NPPES registry as Body Imaging Physician (Allopathic & Osteopathic Physicians).
- Where is De Diego Ambulatory Clinic Corp located?
- De Diego Ambulatory Clinic Corp's practice location on file with NPPES is 150 Ave De Diego Ste 1, San Juan, PR 00907-2309.
- What is De Diego Ambulatory Clinic Corp's phone number?
- The practice phone number listed in the NPPES registry for De Diego Ambulatory Clinic Corp is (787) 977-7575.
- Does De Diego Ambulatory Clinic Corp accept Medicare?
- De Diego Ambulatory Clinic Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for De Diego Ambulatory Clinic Corp?
- The authorized official listed on De Diego Ambulatory Clinic Corp's NPPES record is William Jimenez, Billing and Collection Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is De Diego Ambulatory Clinic Corp's NPI active?
- Yes — De Diego Ambulatory Clinic Corp's NPI (1053052852) is active in the NPPES registry as of the last update on 2022-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.