Ambulatory Diagnostic Center Inc

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

AMBULATORY DIAGNOSTIC CENTER INC

Practice address

747 Ponce de Leon Blvd
First and Second Floor
Coral Gables, FL 33134-2049

Phone

(305) 446-7893

Fax

(305) 442-1183

NPI assigned

Sep 25, 2006

Organization subpart

No

Name

Ms. Elizabeth Braceras

Title

President

Phone

(305) 863-8860

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delvis A Celdran, M.D.

  • Neurology Physician
  • Port Saint Lucie, FL
  • NPI 1780649541
  NPD
• Amar S Mehta, MD

  • Diagnostic Radiology Physician
  • Lisle, IL
  • NPI 1477828523
  NPD
• Howard Alan Manhoff, MD

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1073515953
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• HealthSun Health Plans Network
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

• Ponce De Leon Diagnostic Services Ltd Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2026.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1407957434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NW 42ND AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265536",
            "telephone_number": "305-446-7893",
            "fax_number": "305-442-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "FIRST AND SECOND FLOOR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-446-7893",
            "fax_number": "305-442-1183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9090 SW 87th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762315",
            "country_code": "US",
            "telephone_number": "305-696-3231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMBULATORY DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "BRACERAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-863-8860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058543200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponce De Leon Diagnostic Services Ltd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponce De Leon Diagnostic Services Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Coral Gables, FL
• Mammography Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.