Organization Active NPI

Rivero Diagnostic Cter-Plantation Inc

  • Radiology Clinic/Center
  • Plantation, FL
National Provider Identifier
1629323308
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
JR24949000 Issued in FL
Legal business name
RIVERO DIAGNOSTIC CTER-PLANTATION INC
Practice address
7050 NW 4TH St
#202
Plantation, FL 33317-2247
Phone
(954) 791-9729
Fax
(954) 791-9724
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mr. Elieser Leon
Title
Owner
Phone
(954) 791-9729

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X JR24949000 FL Primary
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

7050 NW 4TH St
#202
Plantation, FL 33317-2247

Mailing address

7050 NW 4TH St
#202
Plantation, FL 33317-2247
Phone (954) 791-9729

Other identifiers 1

IdentifierTypeStateIssuer
HCC9503OtherFLACHA

Other names 1

  • RDC PLANTATION Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1629323308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST",
            "address_2": "#202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172247",
            "telephone_number": "954-791-9729",
            "fax_number": "954-791-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 NW 4TH ST",
            "address_2": "#202",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172247",
            "telephone_number": "954-791-9729",
            "fax_number": "954-791-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERO DIAGNOSTIC CTER-PLANTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ELIESER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-791-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "JR24949000",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA",
            "identifier": "HCC9503",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RDC PLANTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.