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NPI 1629250923 · Radiologic Technologist · Trujillo Alto, PR
Provider details
- NPI number
- 1629250923
- Entity type
- Organization
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Organization subpart
- No
- Authorized official
- Pedro De-Jesus-Berrios, Presidente(787) 200-6970
- License
- 2762 (PR)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Avenida Borinquen Numero110
Suite 3-2
Trujillo Alto, PR 00976
Phone: (787) 200-6970
Mailing address
Avenida Borinquen Numero110
Trujillo Alto, PR 00976
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2010-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.