Organization Active NPI

Vivax-Ray Medical Diagnostic Center, Inc

  • Health Service Clinic/Center
  • Hialeah, FL
National Provider Identifier
1821259169
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC7919 Issued in FL
Legal business name
VIVAX-RAY MEDICAL DIAGNOSTIC CENTER, INC
Practice address
3750 W 16TH Ave Ste 204
Hialeah, FL 33012-4648
Phone
(305) 825-1418
Fax
(305) 825-1419
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Osmin Vivas, R.T(R)
Title
President
Phone
(305) 825-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC7919 FL Primary

Addresses

Primary practice location

3750 W 16TH Ave Ste 204
Hialeah, FL 33012-4648

Mailing address

3750 W 16TH Ave
Ste 136U
Hialeah, FL 33012-4654
Phone (305) 825-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000061 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4486806403 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Locations

3750 W 16th Ave
Ste 204
Hialeah, FL 33012
Phone (305) 825-1418

3750 W 16th Ave
Ste 204206
Hialeah, FL 33012
Phone (305) 698-8888

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1821259169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "address_2": "STE 136U",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124654",
            "telephone_number": "305-825-1418",
            "fax_number": "305-825-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE STE 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124648",
            "telephone_number": "305-825-1418",
            "fax_number": "305-825-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVAX-RAY MEDICAL DIAGNOSTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "VIVAS",
        "authorized_official_first_name": "OSMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-825-1418",
        "authorized_official_credential": "R.T(R)"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.