Individual provider Active NPI

Roberto P Jurado Iglesias, ARDMS

  • Sonography Radiologic Technologist
  • Miami, FL
National Provider Identifier
1356463517
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
ARDMS101756
Practice address
6366 Coral Way
Miami, FL 33155-1929
Phone
(786) 326-8107
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X ARDMS101756 Primary

Addresses

Primary practice location

6366 Coral Way
Miami, FL 33155-1929

Mailing address

22218 SW 58TH Ave
Boca Raton, FL 33428-4532
Phone (786) 326-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Diagnostic Services, Co Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356463517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22218 SW 58TH AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284532",
            "telephone_number": "786-326-8107",
            "fax_number": "561-483-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6366 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551929",
            "telephone_number": "786-326-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURADO IGLESIAS",
        "first_name": "ROBERTO",
        "middle_name": "P",
        "credential": "ARDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "ARDMS101756",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.