Organization Active NPI

Pavi Diagnostic Center, Corp

  • Sonography Radiologic Technologist
  • Miami, FL
National Provider Identifier
1770922445
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
ME81181 Issued in FL
Legal business name
PAVI DIAGNOSTIC CENTER, CORP
Practice address
175 Fontainebleau Blvd
Suite 2J1
Miami, FL 33172-7018
Phone
(786) 332-3913
Fax
(786) 332-2835
NPI assigned
Jun 17, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Juan Villalonga
Title
President
Phone
(786) 332-3913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X ME81181 FL Primary

Addresses

Primary practice location

175 Fontainebleau Blvd
Suite 2J1
Miami, FL 33172-7018

Mailing address

175 Fontainebleau Blvd
Suite 2J1
Miami, FL 33172-7018
Phone (786) 332-3913

National Provider Directory

National Provider Directory

Locations

175 Fontainebleau Blvd
Ste 2J1
Miami, FL 33172
Phone (305) 220-6435

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1770922445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 2J1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "786-332-3913",
            "fax_number": "786-332-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 2J1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "786-332-3913",
            "fax_number": "786-332-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVI DIAGNOSTIC CENTER, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "VILLALONGA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-332-3913"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "FL",
            "license": "ME81181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 2013; 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.