Active NPI
MP Diagnostic LTD
- Diagnostic Radiology Physician
- Miami, FL
National Provider Identifier
1710258504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- HCC9844
- Legal business name
- MP DIAGNOSTIC LTD
- Practice address
- 6401 SW 87 Avenue
Suite 121
Miami, FL 33173-2520 - Phone
- (305) 273-9290
- Fax
- (786) 923-2199
- NPI assigned
- Jan 25, 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
- Dr. Graciela C Pozo, MEDICAL DOCTOR
- Title
- President of Corp Gen Part
- Phone
- (305) 271-8394
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | HCC9844 | FL | Primary |
Addresses
Primary practice location
6401 SW 87 Avenue
Suite 121
Miami, FL 33173-2520
Mailing address
PO Box 160608
Miami, FL 33116-0608
Phone (786) 242-8900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004623400 | Medicaid | FL |
Other names 1
- MRI AT SUNSET
National Provider Directory
National Provider DirectoryLocations
6401 SW 87th Ave
Ste 121
Miami, FL 33173
Phone (305) 273-9290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355788800000",
"number": "1710258504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160608",
"city": "MIAMI",
"state": "FL",
"postal_code": "331160608",
"telephone_number": "786-242-8900",
"fax_number": "786-923-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 SW 87 AVENUE",
"address_2": "SUITE 121",
"city": "MIAMI",
"state": "FL",
"postal_code": "331732520",
"telephone_number": "305-273-9290",
"fax_number": "786-923-2199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MP DIAGNOSTIC LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-25",
"last_updated": "2012-12-18",
"status": "A",
"authorized_official_last_name": "POZO",
"authorized_official_first_name": "GRACIELA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT OF CORP GEN PART",
"authorized_official_telephone_number": "305-271-8394",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MEDICAL DOCTOR"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "HCC9844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004623400",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MRI AT SUNSET",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.