NPIMap

Organization Active NPI

Comprehensive Diagnostic Center, Inc

  • VA Clinic/Center
  • Miami, FL
National Provider Identifier
1104031897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
COMPREHENSIVE DIAGNOSTIC CENTER, INC
Practice address
7511 NW 73Rd St # 118
Miami, FL 33166-2403
Phone
(786) 355-1936
Fax
(305) 447-4487
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maritzabel Lanza
Title
President
Phone
(786) 355-1936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X FL Primary

Addresses

Primary practice location

7511 NW 73Rd St # 118
Miami, FL 33166-2403

Mailing address

7511 NW 73Rd St # 118
Miami, FL 33166-2403
Phone (786) 355-1936

National Provider Directory

National Provider Directory

Locations

7511 NW 73rd St
#118
Miami, FL 33166
Phone (786) 355-1936

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104031897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 NW 73RD ST # 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662403",
            "telephone_number": "786-355-1936",
            "fax_number": "305-447-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 NW 73RD ST # 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662403",
            "telephone_number": "786-355-1936",
            "fax_number": "305-447-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANZA",
        "authorized_official_first_name": "MARITZABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-355-1936"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "FL",
            "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 Aug 22, 2020; 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.