Organization Active NPI

Cardiovascular Mobile Service Inc

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1073506325
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC5026 Issued in FL
Legal business name
CARDIOVASCULAR MOBILE SERVICE INC
Practice address
9200 SW 72ND St BLDG 4
Miami, FL 33173-3240
Phone
(305) 227-2500
Fax
(305) 403-8740
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Alejanro Enrique Xiques
Title
Ceo
Phone
(305) 227-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X HCC5026 FL Primary

Addresses

Primary practice location

9200 SW 72ND St BLDG 4
Miami, FL 33173-3240

Mailing address

9200 SW 72ND St
Building #4
Miami, FL 33173-3240
Phone (305) 227-2500

Other identifiers 1

IdentifierTypeStateIssuer
014102500MedicaidFL

Other names 1

  • CMS DIAGNOSTIC SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000154 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4082513585 Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2061864Cardiovascular Mobile Services, Inc9200 SW 72ND Street BLDG #4, Miami, FL 33173Certificate of waiverJul 7, 2027

National Provider Directory

National Provider Directory

Locations

9601 SW 40th St
Miami, FL 33165
Phone (305) 227-2500

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1073506325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SW 72ND ST",
            "address_2": "BUILDING #4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733240",
            "telephone_number": "305-227-2500",
            "fax_number": "305-220-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SW 72ND ST BLDG 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733240",
            "telephone_number": "305-227-2500",
            "fax_number": "305-403-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MOBILE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "XIQUES",
        "authorized_official_first_name": "ALEJANRO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-227-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC5026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014102500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMS DIAGNOSTIC SERVICES",
            "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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.