J.a. Professional Services, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

33322 Issued in FL

Legal business name

J.A. PROFESSIONAL SERVICES, INC.

Practice address

540 Brickell Key Dr
Suite1209
Miami, FL 33131-2697

Phone

(305) 358-6705

Fax

(305) 372-1092

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jorge H Aguirre, RADIOLOGIC TECHNOLOG

Title

Owner

Phone

(305) 358-6705

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1366536484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BRICKELL KEY DR",
            "address_2": "SUITE1209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312697",
            "telephone_number": "305-358-6705",
            "fax_number": "305-372-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BRICKELL KEY DR",
            "address_2": "SUITE1209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312697",
            "telephone_number": "305-358-6705",
            "fax_number": "305-372-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A. PROFESSIONAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-358-6705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RADIOLOGIC TECHNOLOG"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "33322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BC & BS",
            "identifier": "V1882",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mobile Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Mobile Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.