Imagen Medical Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA66664 Issued in FL

Legal business name

IMAGEN MEDICAL CENTER

Practice address

8181 NW 36TH St Ste 5B
Doral, FL 33166-6628

Phone

(786) 558-7167

Fax

(786) 953-6871

NPI assigned

Apr 25, 2014

Organization subpart

No

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

Authorized official

Name

Arlex Diaz

Title

President

Phone

(786) 558-7167

Specialties & licenses 2

Addresses

Other names 1

• IMAGEN MEDICAL CENTER Former legal business name

Locations

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1770903007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST STE 5B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666628",
            "telephone_number": "786-558-7167",
            "fax_number": "786-953-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST STE 5B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666628",
            "telephone_number": "786-558-7167",
            "fax_number": "786-953-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ARLEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-558-7167"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA66664",
            "primary": true
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGEN MEDICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.