Mia Diagnostics of South Florida Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MIA DIAGNOSTICS OF SOUTH FLORIDA CORP

Practice address

9745 SW 72ND St
Suite 115
Miami, FL 33173-4652

Phone

(305) 630-9252

Fax

(305) 630-9241

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Raul M Pardo

Title

President

Phone

(786) 262-6143

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter A Martinez-Noda, D.O.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1861440935
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1821136623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 SW 72ND ST",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734652",
            "telephone_number": "305-630-9252",
            "fax_number": "305-630-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 SW 72ND ST",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734652",
            "telephone_number": "305-630-9252",
            "fax_number": "305-630-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA DIAGNOSTICS OF SOUTH FLORIDA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "PARDO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-262-6143"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCC LICENSE",
            "identifier": "HCC7500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mi Segunda Casa Adult Day Care
• Mi Tierra Medical Group Corp
• Mi Tierra Medical Group Corp
• Mia Behavior Services LLC
• Mia Best Care Corp
• Mia Eye Care Specialists LLC
• Mia Global Solutions Corp
• Mia Medical Supplies, Inc.
• Mia Mobile Imaging LLC
• Mia Pharmacy Discount Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.