Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

De Diego Ambulatory Clinic Corp

Organization Body Imaging Physician · NPI 1053052852

De Diego Ambulatory Clinic Corp provides Body Imaging Physician services 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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