NPIMap

Organization Active NPI

Doral Imaging Institute LLC

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1053357061
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
DORAL IMAGING INSTITUTE LLC
Practice address
2760 SW 97TH Ave
Suite B101
Miami, FL 33165-2684
Phone
(305) 594-2881
Fax
(305) 397-1386
NPI assigned
Jun 20, 2006
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Yamila Gil de Montes
Title
Admistrative Director
Phone
(305) 594-2881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2760 SW 97TH Ave
Suite B101
Miami, FL 33165-2684

Mailing address

2760 SW 97TH Ave
Suite B101
Miami, FL 33165-2684
Phone (305) 594-2881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20060920000080 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931104221 Practice locations: Miami, FL
O20230504001295 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931104221 Practice locations: Sarasota, FL
O20240823001729 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931104221 Practice locations: Miami Beach, FL
O20250904003177 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9931104221 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

7775 NW 48th St
Ste 150
Doral, FL 33166
Phone (305) 594-2881

2760 SW 97th Ave
Ste B101
Miami, FL 33165
Phone (305) 594-2881

9408 SW 87th Ave
Ste 104
Miami, FL 33176
Phone (305) 594-2881

300 Arthur Godfrey Rd
Ste 101
Miami Beach, FL 33140
Phone (305) 594-2881

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1053357061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SW 97TH AVE",
            "address_2": "SUITE B101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652684",
            "telephone_number": "305-594-2881",
            "fax_number": "305-397-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SW 97TH AVE",
            "address_2": "SUITE B101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652684",
            "telephone_number": "305-594-2881",
            "fax_number": "305-397-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL IMAGING INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "GIL DE MONTES",
        "authorized_official_first_name": "YAMILA",
        "authorized_official_title_or_position": "ADMISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "305-594-2881"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "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 Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.