Healthcare Provider Details

I. General information

NPI: 1982519484
Provider Name (Legal Business Name): NEXUS IMAGING AND NUCLEAR MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE MANUEL PAVIA 611 PAVIA MEDICAL PLAZA SUITE 113
SAN JUAN PR
00909
US

IV. Provider business mailing address

1302 AVE ASHFORD APT 306
SAN JUAN PR
00907-1348
US

V. Phone/Fax

Practice location:
  • Phone: 787-268-1015
  • Fax:
Mailing address:
  • Phone: 787-640-3365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGEL L RIVERA MARTINEZ
Title or Position: SENIOR EXECUTIVE PARTNER
Credential: LCDO.
Phone: 787-640-3365