NPIMap

Organization Active NPI

Presgar Imaging of Cmi North LC

Doing business as Central Magnetic Imaging North

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Miami, FL
National Provider Identifier
1447237722
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
HCC9937 Issued in FL
Legal business name
PRESGAR IMAGING OF CMI NORTH LC
Doing business as
Central Magnetic Imaging North
Practice address
1860 NE Miami Gardens Dr
Miami, FL 33179-5036
Phone
(305) 947-1416
Fax
(305) 947-1569
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Manuel J Vadillo
Title
Director of Operations/Owner
Phone
(305) 947-1415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X HCC9937 FL Primary

Addresses

Primary practice location

1860 NE Miami Gardens Dr
Miami, FL 33179-5036

Mailing address

1860 NE Miami Gardens Dr
Miami, FL 33179-5036
Phone (305) 947-1416

Other names 1

  • Central Magnetic Imaging North Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000632 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1951297217 Practice locations: N Miami Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1447237722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795036",
            "telephone_number": "305-947-1416",
            "fax_number": "305-347-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 NE MIAMI GARDENS DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795036",
            "telephone_number": "305-947-1416",
            "fax_number": "305-947-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESGAR IMAGING OF CMI NORTH LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "VADILLO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/OWNER",
        "authorized_official_telephone_number": "305-947-1415"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "HCC9937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Magnetic Imaging North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Magnetic Imaging North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2021; 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.