South Coast Diagnostic

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

SOUTH COAST DIAGNOSTIC

Practice address

2676 NW 97TH Ave
Doral, FL 33172-1400

Phone

(305) 406-1355

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Martinez

Title

President

Phone

(305) 406-1355

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1669421483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2676 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721400",
            "telephone_number": "305-406-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721400",
            "telephone_number": "305-406-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST DIAGNOSTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-406-1355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Israel Soto
• Loureen Andrea Soto
• Ema Jessica Sotomayor
• Erik Randolph Soule, M.D.
• South Beach Gynecology Inc
• South Dade Medical Supply
• South Dental Doral, Spa, Inc
• South Florida Medical Equipment, Co.
• South Florida Midwifery Services, LLC
• South Florida Physician Mangment Group LLC

• Radiology Clinic/Center in Doral, FL
• Providers in Doral, 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 Mar 4, 2009; 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.