Santa Clara Diagnostic Center Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SANTA CLARA DIAGNOSTIC CENTER INC

Practice address

1275 W 47TH PL
416
Hialeah, FL 33012-3394

Phone

(305) 828-1749

Fax

(305) 828-1022

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Larry Ruiz

Title

President

Phone

(305) 498-5658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1215921820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL",
            "address_2": "416",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123394",
            "telephone_number": "305-828-1749",
            "fax_number": "305-828-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W 47TH PL",
            "address_2": "416",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123394",
            "telephone_number": "305-828-1749",
            "fax_number": "305-828-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-498-5658"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Liset Santana Alvarez

• Radiology Clinic/Center in Hialeah, FL
• Providers in Hialeah, 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 Sep 26, 2011; 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.