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Instructions for getting an appointment
at the University Children's Hospital
Imaging Center (CT and MRI)

We are grateful that you have selected the Imaging Center of the University Pediatric Hospital for radiology services. Please read the requirements carefully and comply with them before submitting the application in order to expedite the process of obtaining an appointment. If you submit incomplete requirements, we will not be able to provide you with the quotation.

  • All documents must be sent in a single email to cimagenes@hopu.pr.gov (Applications in another email will not be accepted). If the document

        is printed on both sides of the paper, you must submit a photo

        of both sides.

  • You must submit the following contact information:

  • Patient's Name

  • Date of birth

  • Telephone

  • Email

  • Medical Plan Photo

Vital Medical Plan

  • Medical order (Must not be more than 30 days old

        at the time of appointment).

  • Referral must be in the name of the University Pediatric Hospital

        (NPI 1174678460).

              • Valid for 90 days.

              • To accept the referral, the following requirements must be met:

                    • All fields must be completed from 

                      Section I REFERRING PROVIDER INFORMATION

                    • All fields must be completed from

                      Section II CLINICAL INFORMATION

                          • Reason for consultation (They must document the procedure).

                          • Example: Brain MRI with contrast

  • In Section III BENEFICIARY REFERRED TO (SPECIFY), the following must be selected:

    • OTHER____________ (CT, MRIs, Laboratories Sp. Etc.)

  • In the Specialist Information area, you must have the following information:

    • Provider Name: University Children's Hospital

    • NPI: 1174678460

Authorization must be in the name of the University Pediatric Hospital

(NPI 1174678460). If the procedure has contrast, the following must be authorized:

​

  • Contrast for MRI: CPT A9579

  • Contrast for CT: CPT Q9965

 *** Please validate with your primary care physician that you meet the requirements, if the referral is not completed correctly, we will not be able to provide you with an appointment.

Business Plan

  • Medical order (Must not be more than 30 days old at the time of appointment).

    • All medical orders for patients with Triple S must have an issue date and comply with Circular Letter #M2204083. Authorization must be in the name of the Hospital Pediátrico Universitario (NPI 1174678460).

    • Autorización debe estar a nombre del Hospital Pediátrico Universitario (NPI 1174678460).

    • If the procedure has contrast, the following must be authorized:

      • Contrast for MRI: CPT A9579

      • Contrast for CT: CPT Q9965

Once you receive your study appointment, please follow the instructions so you don't miss your appointment.

​

Email: cimagenes@hopu.pr.gov

Tel. (787)474-0333 Ext. 7092

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