Healthcare Provider Details

I. General information

NPI: 1407792625
Provider Name (Legal Business Name): ANAYA RADIOLOGY SOLUTIONS PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GRAND PASEO BLVD SUITE 112 PMB 488
SAN JUAN PR
00926-5955
US

IV. Provider business mailing address

300 AVE DONA FELISA RINCON DE STE 29
SAN JUAN PR
00926-5970
US

V. Phone/Fax

Practice location:
  • Phone: 787-501-3415
  • Fax: 787-502-3415
Mailing address:
  • Phone: 787-501-3415
  • Fax: 787-502-3415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS ALBERTO ANAYA
Title or Position: PRESIDENTE
Credential: MD
Phone: 310-926-8512