Organization Active NPI

MP Diagnostic LTD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1710258504
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
HCC9844 Issued in FL
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

Updated by the provider on Dec 18, 2012

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
004623400MedicaidFL

Other names 1

  • MRI AT SUNSET Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.