Broader MRI of Palm Beach LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

BROADER MRI OF PALM BEACH LLC

Practice address

5405 Okeechobee Blvd #100
West Palm Beach, FL 33417

Phone

(561) 766-0304

Fax

(305) 768-9164

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Manuel Iribar, MD

Title

Owner

Phone

(561) 766-0304

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1376224956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD #100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33417",
            "telephone_number": "561-766-0304",
            "fax_number": "305-768-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 OKEECHOBEE BLVD #100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33417",
            "telephone_number": "561-766-0304",
            "fax_number": "305-768-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADER MRI OF PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-09-13",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "IRIBAR",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-766-0304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Brito-Espinal, MD
• Eduardo Brito, DMD
• Litzy Brito
• Candace E Britt Parkerson, LCSW
• Erla Mytho Brizeus-Pierre, ARNP
• Samantha R Brocato, PA-C
• Aldo Girse Broceta Argilagos, DMD
• Yunier Broche Perez
• Marc Edward Brockman, OD
• Rhonda Jo Brockman, ARNP

• Body Imaging Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Body Imaging Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.