Organization
MMD BREAST IMAGING PSC
Active
Organization
MMD BREAST IMAGING PSC
Active
Other names
VIDA IMAGING & BREAST CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA MALDONADO MD (PRESIDENT)
(787) 630-3116
Entity
Organization
Contact information
Practice address
SANTA CRUZ MEDICAL BUILDING, SUITE 108, #73 SANTA CRUZ STREET, BAYAMON, PR 00961
(787) 785-8110
Mailing address
PASEO SAN JUAN G23, CALLE ADOQUINES, SAN JUAN, PR 00926-6520
(787) 630-3116
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/09/2022
Last updated
04/09/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up