MTG Diagnostic Center Inc

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

MTG DIAGNOSTIC CENTER INC

Practice address

4445 W 16TH Ave
Suite 500
Hialeah, FL 33012-7189

Phone

(305) 231-0033

Fax

(305) 231-0036

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mauticio V Deniz

Title

President

Phone

(305) 231-0033

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740313816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 500",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "305-231-0033",
            "fax_number": "305-231-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE",
            "address_2": "SUITE 500",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127189",
            "telephone_number": "305-231-0033",
            "fax_number": "305-231-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTG DIAGNOSTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENIZ",
        "authorized_official_first_name": "MAUTICIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-231-0033"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Ph.D. Medical Genetics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.