MP Diagnostic LTD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MP DIAGNOSTIC LTD

Practice address

9090 SW 87TH CT
Miami, FL 33176-2305

Phone

(305) 279-7275

Fax

(305) 675-3627

NPI assigned

Aug 25, 2005

Last updated

Sep 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alvaro Garcia Villegas

Title

Ceo

Phone

(305) 279-7275

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1164415055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331160608",
            "telephone_number": "305-279-7275",
            "fax_number": "786-219-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 SW 87TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762305",
            "telephone_number": "305-279-7275",
            "fax_number": "305-675-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP DIAGNOSTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA VILLEGAS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-279-7275"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "V2339",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004623600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcelo Javier Moyano, APRN
• Mozhgan Alijani, DPM, PA
• Alina Mozo Martin
• MP Advanced Practice PA
• MP Behavioral Solutions Inc
• MP Diagnostic LTD (MRI at Sunset)
• MP Diversified Services Corp
• MP Residence Alf
• MPG Behavior Services Inc
• MQ DMD PA

• Diagnostic Radiology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.