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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060823000038 | FL | Part B Supplier - Portable X-Ray Supplier | 9032112578 | Practice locations: Goulds, FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- North Bay Village, FL
- NPI 1245292259
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.