Organization Active NPI

Florida MRI & Imaging LLC

  • Computed Tomography Radiologic Technologist
  • Pembroke Pines, FL
National Provider Identifier
1366738767
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X
Legal business name
FLORIDA MRI & IMAGING LLC
Practice address
330 S Flamingo Rd
Pembroke Pines, FL 33027-1770
Phone
(954) 874-7988
Fax
(954) 874-7989
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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

Authorized official

Name
Mr. Francisco Martinez
Title
Owner President
Phone
(954) 874-7988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Computed Tomography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471C3401X Primary
Radiography Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2471C3402X

Addresses

Primary practice location

330 S Flamingo Rd
Pembroke Pines, FL 33027-1770

Mailing address

330 S Flamingo Rd
Pembroke Pines, FL 33027-1770
Phone (954) 874-7988

Other identifiers 1

IdentifierTypeStateIssuer
HCC9200OtherFLAGENCY FOR HEALTH CARE ADMINISTRATION AHCA

National Provider Directory

National Provider Directory

Locations

330 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 438-8887

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1366738767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271770",
            "telephone_number": "954-874-7988",
            "fax_number": "954-874-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271770",
            "telephone_number": "954-874-7988",
            "fax_number": "954-874-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA MRI & IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "954-874-7988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION AHCA",
            "identifier": "HCC9200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.