GM Diagnostic Center, Inc.

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

HCC6586 Issued in FL

Legal business name

GM DIAGNOSTIC CENTER, INC.

Practice address

175 Fountainbleau Blvd
Miami, FL 33172-7018

Phone

(786) 594-0094

Fax

(786) 594-0706

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gisela Moya

Title

President

Phone

(786) 594-0094

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497707608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FOUNTAINBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "786-594-0094",
            "fax_number": "786-594-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FOUNTAINBLEAU BLVD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "786-594-0094",
            "fax_number": "786-594-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM DIAGNOSTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "GISELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-594-0094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "FL",
            "license": "HCC6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Gluck, PT
• Stefan Gluck, MD
• Sarit Gluzband
• Samara Gabriel Glyn
• GM Behavioral Services LLC
• GM Holdings Miami
• GM Medical Office Inc
• GM Professional Therapy, Inc
• GM Rehabilitation Eg Center Inc
• GMC Group of Miami,LLC

• Mobile Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Mobile Radiology Clinic/Center 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.