Palm Beach MRI LLC

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

ME102516 Issued in FL

Legal business name

PALM BEACH MRI LLC

Practice address

4519 Lake Worth Rd
Greenacres, FL 33463-3449

Phone

(561) 530-3706

Fax

(561) 530-3707

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Duclos Dessalines, MD

Title

Owner

Phone

(561) 530-3706

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Modesto Sanchez-Torres, MD

  • Diagnostic Radiology Physician
  • Sunny Isles Beach, FL
  • NPI 1447238407
  NPD

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1487019535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-530-3706",
            "fax_number": "561-530-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633449",
            "telephone_number": "561-530-3706",
            "fax_number": "561-530-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "DESSALINES",
        "authorized_official_first_name": "DUCLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-530-3706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "FL",
            "license": "ME102516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palm Beach Medical and Rehab
• Palm Beach Primary Care & Aesthetics
• Rocio Palomino Cuartas
• Christian Cesar Pando Chaviano
• Angelica Maria Pando Delgado
• Paradise Behavior Analysis Corp

• Body Imaging Physician in Greenacres, FL
• Providers in Greenacres, 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 May 11, 2017; 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.