Ideal Diagnostic Center Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MA 61215 Issued in FL

Legal business name

IDEAL DIAGNOSTIC CENTER INC

Practice address

3623 SW 3Rd St
Miami, FL 33135-2543

Phone

(305) 444-0137

Fax

(305) 444-0137

NPI assigned

Jan 10, 2011

Last updated

Jan 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ingrid Cifuentes Bruce, LMTNPI 1518262815

Title

Owner/Therapist

Phone

(305) 444-0137

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ingrid Cifuentes Bruce, LMT

  • Massage Therapist
  • Miami, FL
  • NPI 1518262815
  NPD (past) Authorized official

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1720382427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350966",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331350966",
            "telephone_number": "305-444-0137",
            "fax_number": "305-444-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 SW 3RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352543",
            "telephone_number": "305-444-0137",
            "fax_number": "305-444-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES BRUCE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "305-444-0137",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA 61215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia M Santaella MD LLC
• Idalmis Residence Inc.
• Idea Home Health Care, Inc.
• Ideal Dental Clinical Operations (Aurora Dental)
• Ideal Dental, Inc. (Aurora Dental)
• Ideal Home Care Inc.
• Ideal Home Health, Inc
• Ideal Image of Florida, LLC
• Ideal Medical Center of Miami
• Ideal Opticians PA

• Rehabilitation Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.