Organization Active NPI

Imagen Diagnostic Services, Inc.

  • General Practice Physician
  • Coral Gables, FL
National Provider Identifier
1619276508
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IMAGEN DIAGNOSTIC SERVICES, INC.
Practice address
3970 W Flagler St
Suite 104
Coral Gables, FL 33134-1642
Phone
(305) 456-2160
Fax
(305) 456-0628
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Ayme Ruiz
Title
President
Phone
(305) 456-2162

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3970 W Flagler St
Suite 104
Coral Gables, FL 33134-1642

Mailing address

3970 W Flagler St
Suite 104
Coral Gables, FL 33134-1642
Phone (305) 456-2160

National Provider Directory

National Provider Directory

Locations

3970 W Flagler St
Ste 104
Coral Gables, FL 33134
Phone (305) 448-2470

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1619276508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W FLAGLER ST",
            "address_2": "SUITE 104",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341642",
            "telephone_number": "305-456-2160",
            "fax_number": "305-456-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W FLAGLER ST",
            "address_2": "SUITE 104",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341642",
            "telephone_number": "305-456-2160",
            "fax_number": "305-456-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGEN DIAGNOSTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "AYME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-456-2162"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.