Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De Diego Ambulatory Clinic Corp

Organization Body Imaging Physician · NPI 1053052852

De Diego Ambulatory Clinic Corp is a Body Imaging Physician in San Juan, Puerto Rico. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

150 Ave De Diego Ste 1
San Juan, PR 00907-2309
Phone: (787) 977-7575
Fax: (787) 977-7586

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X

Record details

NPI number1053052852
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Jimenez — Billing And Collection Manager · (787) 977-7575
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022
Mailing address150 Ave De Diego Ste 1, San Juan, PR 00907-2309

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