NPIMap

Organization Active NPI

Flagler Diagnostic Center Inc

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1336229541
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
FLAGLER DIAGNOSTIC CENTER INC
Practice address
8000 W Flagler St
Suite 101
Miami, FL 33144-2153
Phone
(305) 266-7300
Fax
(305) 675-3627
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Alvaro Garcia Villegas
Title
Ceo
Phone
(305) 279-7275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X FL Primary

Addresses

Primary practice location

8000 W Flagler St
Suite 101
Miami, FL 33144-2153

Mailing address

PO Box 160608
Miami, FL 33116-0608
Phone (305) 279-7275

Other identifiers 1

IdentifierTypeStateIssuer
375297600MedicaidFL

National Provider Directory

National Provider Directory

Locations

85 Grand Canal Dr
Ste 102
Miami, FL 33144
Phone (305) 267-7100

Practitioners & affiliated clinicians

Practitioners 5

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1336229541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160608",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331160608",
            "telephone_number": "305-279-7275",
            "fax_number": "786-219-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W FLAGLER ST",
            "address_2": "SUITE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442153",
            "telephone_number": "305-266-7300",
            "fax_number": "305-675-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLER DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA VILLEGAS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-279-7275"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375297600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.