La Colonia Diagnostic Center Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LA COLONIA DIAGNOSTIC CENTER INC

Practice address

8399 Pines Blvd
Pembroke Pines, FL 33024-6607

Phone

(305) 823-3312

Fax

(786) 360-2327

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

Yenin Acevedo, FMG

Title

President

Phone

(305) 608-1082

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• La Colonia Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Hialeah, FL
  • NPI 1902203193

  O20200820003161

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

La Colonia Diagnostic Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• La Colonia Diagnostic Center Inc

  • Radiology Clinic/Center
  • Cutler Bay, FL
  • NPI 1760052989
  NPD tax ID

Locations

Practitioners 2

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

• Gerard J Sais, MD

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1902862550
  NPD (past)
• Juan Carlos Terrero, M.D.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1275660755
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1225608441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W 23RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102211",
            "telephone_number": "305-608-1082",
            "fax_number": "786-360-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8399 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246607",
            "telephone_number": "305-823-3312",
            "fax_number": "786-360-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COLONIA DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "YENIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-608-1082",
        "authorized_official_credential": "FMG"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreeja Kurup
• Brandon R Kuse
• Stephen Kushner, DPM
• Lisa Anne Kutrip
• L&B Solutions Care Group Homes, Inc.
• La Colonia Medical Center Inc
• La Colonia Medical Center Inc
• La Colonia Wellness Center Pembroke Pines LLC
• Laura La Rocca, FNP-C
• Tania La Torre Perez

• Radiology Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.