NPIMap

Organization Active NPI

Total MRI & Diagnostic Center

  • Radiology Clinic/Center
  • Hollywood, FL
National Provider Identifier
1265040604
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TOTAL MRI & DIAGNOSTIC CENTER
Practice address
4440 Sheridan St, Ste B
Hollywood, FL 33021-3535
Phone
(786) 756-3038
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Gabriel G. Florez, M.D.
Title
President
Phone
(786) 756-3038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4440 Sheridan St, Ste B
Hollywood, FL 33021-3535

Mailing address

4440 Sheridan St, Ste B
Hollywood, FL 33021-3535
Phone (786) 756-3038

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGOtherAHCA LICENSE

National Provider Directory

National Provider Directory

Locations

4440 Sheridan St
Ste B
Hollywood, FL 33021
Phone (786) 756-3038

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1265040604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SHERIDAN ST, STE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213535",
            "telephone_number": "786-756-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SHERIDAN ST, STE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213535",
            "telephone_number": "786-756-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL MRI & DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "FLOREZ, M.D.",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-756-3038"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.