Organization Active NPI

R I S Mobile Diagnostic Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Cutler Bay, FL
National Provider Identifier
1679733588
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
R I S MOBILE DIAGNOSTIC INC
Practice address
21561 SW 94TH Ave
Cutler Bay, FL 33189-3747
Phone
(305) 255-8777
Fax
(305) 255-8713
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Juan A Vazquez
Title
President
Phone
(305) 255-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

21561 SW 94TH Ave
Cutler Bay, FL 33189-3747

Mailing address

21561 SW 94TH Ave
Cutler Bay, FL 33189-3747
Phone (305) 255-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060823000038 FL Part B Supplier - Portable X-Ray Supplier 9032112578 Practice locations: Goulds, FL

National Provider Directory

National Provider Directory

Locations

11965 SW 142nd Ter
Ste 101
Miami, FL 33186
Phone (305) 255-8777

Networks

  • HealthSun Health Plans Network

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": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1679733588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21561 SW 94TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893747",
            "telephone_number": "305-255-8777",
            "fax_number": "305-255-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21561 SW 94TH AVE",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893747",
            "telephone_number": "305-255-8777",
            "fax_number": "305-255-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R I S MOBILE DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-255-8777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.