Professional Health Diagnostics, Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

CC5108 Issued in FL

Legal business name

PROFESSIONAL HEALTH DIAGNOSTICS, INC

Practice address

6527 SW 24TH St
Miami, FL 33155-1843

Phone

(305) 441-2262

Fax

(305) 441-2292

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Ana C Goenaga

Title

Director/Officer

Phone

(305) 441-2262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 4

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

• Kambiz Hassanzadeh, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1114012044
  NPD
• Pedro Jose Valdes, D.O.

  • Interventional Cardiology Physician
  • Miami Lakes, FL
  • NPI 1982993879
  NPD
• Brian Valle, D.O.

  • Interventional Cardiology Physician
  • Hialeah, FL
  • NPI 1992016497
  NPD
• Armando Marquez Boucourt

  • Registered Respiratory Therapist
  • Miami, FL
  • NPI 1831141407
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1184709701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6527 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551843",
            "telephone_number": "305-441-2262",
            "fax_number": "305-441-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6527 SW 24TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551843",
            "telephone_number": "305-441-2262",
            "fax_number": "305-441-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "GOENAGA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "305-441-2262"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "CC5108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Health Alliance LLC
• Professional Health Alliance, LLC
• Professional Health Care Center Inc
• Professional Health Care Center Inc
• Professional Health Center Corp
• Professional Health Management Services
• Professional Health Network Inc
• Professional Healthcare Medical Management, Inc
• Professional Home Care Solutions
• Professional Home Health Care, Inc.

• Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.