De la Pedraja Radiology Assoc., Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

08448 Issued in FL

Legal business name

DE LA PEDRAJA RADIOLOGY ASSOC., INC

Practice address

4776 SW 8TH St
Coral Gables, FL 33134-2564

Phone

(305) 447-1415

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pedro Alvarez

Title

Coo

Phone

(305) 447-1415

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

De la Pedraja Radiology Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• De la Pedraja Radiology Assoc., Inc

  • Radiology Clinic/Center
  • Coral Gables, FL
  • NPI 1861033078
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 1

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

• Luis O Alvarez, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
  • NPI 1629179585
  Medicare reassignment NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1659424257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4776 SW 8 ST.",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-447-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4776 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342564",
            "telephone_number": "305-447-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA PEDRAJA RADIOLOGY ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "305-447-1415",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "08448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila De Avila, MD
• Maiana Pereira De Cortada, ARNP
• Michelle De Fazio, DDS
• Nilda Maria De la Fe, LMHC
• Adriana De la Fuente, PA-C
• De la Pedraja Radiology Assoc., Inc
• Jorge Luis De la Pedraja, M.D.
• Judith De la Pena
• Annette Victoria De Leon
• Daniela Oliveira De Medeiros, PSY.D, MS.ED, MS

• Radiology Clinic/Center in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.