Port Saint Lucie Imaging LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PORT SAINT LUCIE IMAGING LLC

Practice address

2992 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-3217

Phone

(786) 567-7607

NPI assigned

Jan 5, 2024

Organization subpart

No

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

Authorized official

Name

Alejandro Levinton

Title

Member

Phone

(786) 567-7607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Jose Alfonso Pizarro, MD

  • Diagnostic Radiology Physician
  • Windermere, FL
  • NPI 1568458388
  NPD

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1114797511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2992 SW PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2992 SW PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533217",
            "telephone_number": "786-567-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT SAINT LUCIE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "LEVINTON",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "786-567-7607"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Polanco
• Lorianne Marie Poling, PHARM.D
• Sarah Michelle Pomerantz
• Jorge Ponce
• Sabrina Cathleen Pope, PTA, LMT,NCTM
• Port St Lucie Medical Wellness
• Port St. Lucie MGT LLC
• Winsome Powell
• Omar Poyo
• Silvia Esther Pozo

• Magnetic Resonance Imaging (MRI) Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.