Active NPI
Rivero Diagnostic Cter-Plantation Inc
- Radiology Clinic/Center
- Plantation, FL
National Provider Identifier
1629323308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- JR24949000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCC9503 | Other | FL | ACHA |
Other names 1
- RDC PLANTATION
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1023056876
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.