Breast & Ultrasound Diagnostic Services, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

HCC4409 Issued in FL

Legal business name

BREAST & ULTRASOUND DIAGNOSTIC SERVICES, INC.

Practice address

4980 W 10TH Ave
Suite 102
Hialeah, FL 33012-3437

Phone

(305) 558-4140

Fax

(305) 558-9698

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Carlos Exposito

Title

President

Phone

(305) 558-4140

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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

• Roland Manuel Gracia, M.D.

  • Diagnostic Radiology Physician
  • Key Biscayne, FL
  • NPI 1588690978
  NPD (past)
• Arthur Jacob Swintelski, M.D.

  • Diagnostic Radiology Physician
  • Lauderdale Lakes, FL
  • NPI 1407846322
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225192263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE",
            "address_2": "SUITE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "305-558-4140",
            "fax_number": "305-558-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 W 10TH AVE",
            "address_2": "SUITE 102",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123437",
            "telephone_number": "305-558-4140",
            "fax_number": "305-558-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST & ULTRASOUND DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EXPOSITO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-558-4140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC4409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "257947",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE STAYWELL",
            "identifier": "170998",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "77793",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "216622",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHERS",
            "identifier": "77793",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laimir Bravo
• Teresita Bravo, RBT
• Bravo'S Family Center, Inc
• Bravo'S Home Health Services Inc
• Jonathan Brea Perez
• Annette Brenes
• Bria Rehabilitation Center Corp
• Brian Valle DO PLLC
• Briana & Adrian Medical Supply, Inc
• Marianny De Los Angeles Briceno

• Diagnostic Radiology Physician in Hialeah, FL
• Providers in Hialeah, 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 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.