Organization Active NPI

Rose Med Diagnostic Center Inc

  • Radiology Clinic/Center
  • Homestead, FL
National Provider Identifier
1538375936
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC2775 Issued in FL
Legal business name
ROSE MED DIAGNOSTIC CENTER INC
Practice address
1235 N Krome Ave
Suite R
Homestead, FL 33030-4204
Phone
(305) 242-1160
Fax
(305) 242-1161
NPI assigned
May 15, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Nilda R Acosta, MD
Title
President
Phone
(305) 242-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC2775 FL Primary

Addresses

Primary practice location

1235 N Krome Ave
Suite R
Homestead, FL 33030-4204

Mailing address

1235 N Krome Ave
Suite R
Homestead, FL 33030-4204
Phone (305) 242-1160

Other identifiers 1

IdentifierTypeStateIssuer
266069500MedicaidFL

National Provider Directory

National Provider Directory

Locations

1235 N Krome Ave
Ste R
Homestead, FL 33030
Phone (305) 242-1160

Practitioners & affiliated clinicians

Practitioners 1

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1538375936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N KROME AVE",
            "address_2": "SUITE R",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304204",
            "telephone_number": "305-242-1160",
            "fax_number": "305-242-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N KROME AVE",
            "address_2": "SUITE R",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304204",
            "telephone_number": "305-242-1160",
            "fax_number": "305-242-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MED DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "NILDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-242-1160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC2775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266069500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.