Active NPI
Vivax-Ray Medical Diagnostic Center, Inc
- Health Service Clinic/Center
- Hialeah, FL
National Provider Identifier
1821259169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- HCC7919
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121220000061 | FL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4486806403 | Practice locations: Hialeah, FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1194792077
-
- Diagnostic Radiology Physician
- Sunny Isles Beach, FL
- NPI 1447238407
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.