Active NPI
Express Radiology Group, Inc.
- Radiology Clinic/Center
- Miami, FL
National Provider Identifier
1043631914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- BMO59003
- Legal business name
- EXPRESS RADIOLOGY GROUP, INC.
- Practice address
- 175 Fontainebleau Blvd
Suite 2 G1
Miami, FL 33172-7018 - Phone
- (305) 603-9983
- NPI assigned
- Dec 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fernan Blanco
- Title
- P.D
- Phone
- (786) 252-5023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | BMO59003 | FL | Primary |
Addresses
Primary practice location
175 Fontainebleau Blvd
Suite 2 G1
Miami, FL 33172-7018
Mailing address
175 Fontainebleau Blvd
Suite 2 G1
Miami, FL 33172-7018
Phone (305) 603-9983
National Provider Directory
National Provider DirectoryLocations
175 Fontainebleau Blvd
Ste 2G1
Miami, FL 33172
Phone (305) 603-9983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390953600000",
"number": "1043631914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 FONTAINEBLEAU BLVD",
"address_2": "SUITE 2 G1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331727018",
"telephone_number": "305-603-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 FONTAINEBLEAU BLVD",
"address_2": "SUITE 2 G1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331727018",
"telephone_number": "305-603-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS RADIOLOGY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-19",
"last_updated": "2014-01-29",
"status": "A",
"authorized_official_last_name": "BLANCO",
"authorized_official_first_name": "FERNAN",
"authorized_official_title_or_position": "P.D",
"authorized_official_telephone_number": "786-252-5023"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": "FL",
"license": "BMO59003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.