Organization Active NPI

Comprehensive Breast Center Limited Partnership

  • Mammography Clinic/Center
  • Miami, FL
National Provider Identifier
1013097237
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
HCC10405 Issued in FL
Legal business name
COMPREHENSIVE BREAST CENTER LIMITED PARTNERSHIP
Practice address
9090 SW 87TH CT
Suite 102
Miami, FL 33176-2315
Phone
(305) 271-8394
Fax
(305) 675-3627
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alvaro Garcia Villegas
Title
Ceo
Phone
(305) 279-7275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X HCC10405 FL Primary

Addresses

Primary practice location

9090 SW 87TH CT
Suite 102
Miami, FL 33176-2315

Mailing address

PO Box 160608
Miami, FL 33116-0608
Phone (305) 279-7275

Other identifiers 2

IdentifierTypeStateIssuer
004622500MedicaidFL
V3117OtherFLBC/BS

Other names 1

  • Comprehensive Breast Center Doing business as

National Provider Directory

National Provider Directory

Locations

8353 NW 36th St
Ste B
Doral, FL 33166
Phone (305) 271-8394

6401 SW 87th Ave
Ste 122
Miami, FL 33173
Phone (305) 271-8394

9090 SW 87th Ct
Ste 102
Miami, FL 33176
Phone (305) 271-8394

9757 E Indigo St
Palmetto Bay, FL 33157
Phone (305) 255-3703

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1013097237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331160608",
            "telephone_number": "305-279-7275",
            "fax_number": "786-219-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 SW 87TH CT",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762315",
            "telephone_number": "305-271-8394",
            "fax_number": "305-675-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE BREAST CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "GARCIA VILLEGAS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-279-7275"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "FL",
            "license": "HCC10405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004622500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V3117",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.