Active NPI
Kendall Regional Radiology & Imaging Associates, Inc
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1417055112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- KENDALL REGIONAL RADIOLOGY & IMAGING ASSOCIATES, INC
- Practice address
- 11750 SW 40TH St
Miami, FL 33175-3530 - Phone
- (305) 665-4614
- Fax
- (305) 667-0239
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Calderon, M.D.
- Title
- President
- Phone
- (305) 665-4614
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
11750 SW 40TH St
Miami, FL 33175-3530
Mailing address
5901 SW 74TH St
Suite 202
Miami, FL 33143-5165
Phone (305) 665-4614
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1013042043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417055112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 SW 74TH ST",
"address_2": "SUITE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435165",
"telephone_number": "305-665-4614",
"fax_number": "305-667-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 SW 40TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331753530",
"telephone_number": "305-665-4614",
"fax_number": "305-667-0239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENDALL REGIONAL RADIOLOGY & IMAGING ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CALDERON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-665-4614",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- 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.