Shores Diagnostic Center Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SHORES DIAGNOSTIC CENTER INC

Practice address

8855 NE 2ND Ave
El Portal, FL 33138

Phone

(305) 759-0074

Fax

(305) 754-4766

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirnelle Josma, AS RTM

Title

President

Phone

(305) 759-0074

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlene S Fletcher, M.D.

  • Family Medicine Physician
  • Miami Lakes, FL
  • NPI 1679659734
  NPD (past)
• Sylvia R. Petterson, M.D.P.A.

  • Specialist
  • Boca Raton, FL
  • NPI 1568451540
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376675538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530506",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331530506",
            "telephone_number": "305-759-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 NE 2ND AVE",
            "city": "EL PORTAL",
            "state": "FL",
            "postal_code": "33138",
            "telephone_number": "305-759-0074",
            "fax_number": "305-754-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORES DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSMA",
        "authorized_official_first_name": "MIRNELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-759-0074",
        "authorized_official_credential": "AS RTM"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Health Center LLC
• Daniela Robaina Rodriguez
• Ashley Rojas, OTR/L
• David Allen Rosen, SLP
• San Ceferino Transportation Corp.
• Dearta Smith, M.S. CCC-SLP
• Solera Health Systems (One Health Medical Center)
• Yuslady Soris Gallardo
• Yilaidis Villalobo
• Visions Healthcare - El Portal Inc

• Diagnostic Radiology Physician in El Portal, FL
• Providers in El Portal, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.