Organization Active NPI

Express Radiology Group, Inc.

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1043631914
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
BMO59003 Issued in FL
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

Updated by the provider on Jan 29, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.