NPIMap

Organization Active NPI

Biscayne Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Weston, FL
National Provider Identifier
1508063637
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC4697 Issued in FL
Legal business name
BISCAYNE DIAGNOSTIC IMAGING
Practice address
2625 Executive Park Dr
Suite 1
Weston, FL 33331-3634
Phone
(954) 217-7674
Fax
(954) 217-7675
NPI assigned
Jul 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert J Miller
Title
Owner
Phone
(954) 217-7674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X HCC4697 FL Primary

Addresses

Primary practice location

2625 Executive Park Dr
Suite 1
Weston, FL 33331-3634

Mailing address

2625 Executive Park Dr
Suite 1
Weston, FL 33331-3634
Phone (954) 217-7674

National Provider Directory

National Provider Directory

Locations

21110 Biscayne Blvd
Ste 102
Aventura, FL 33180
Phone (305) 933-1888

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508063637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 EXECUTIVE PARK DR",
            "address_2": "SUITE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313634",
            "telephone_number": "954-217-7674",
            "fax_number": "954-217-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 EXECUTIVE PARK DR",
            "address_2": "SUITE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313634",
            "telephone_number": "954-217-7674",
            "fax_number": "954-217-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISCAYNE DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-217-7674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "HCC4697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, 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.

Verify at the official NPI Registry.