Neuro-Diagnostic Enterprise

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

NEURO-DIAGNOSTIC ENTERPRISE

Practice address

2800 Biscayne Blvd Ste 1000B
Miami, FL 33137-4559

Phone

(786) 886-8608

Fax

(305) 675-4601

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Cristobal P Corredor, R.NCS.T,EEG.T,EP.T

Title

Neurodiagnostic Technologist

Phone

(305) 951-9332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1861995094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868903",
            "telephone_number": "305-951-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BISCAYNE BLVD STE 1000B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374559",
            "telephone_number": "786-886-8608",
            "fax_number": "305-675-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO-DIAGNOSTIC ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "CORREDOR",
        "authorized_official_first_name": "CRISTOBAL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "NEURODIAGNOSTIC TECHNOLOGIST",
        "authorized_official_telephone_number": "305-951-9332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.NCS.T,EEG.T,EP.T"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neuro Rehabilitation Associates, LLC
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• Neurocall, Inc.
• Neuroclinics, LLC
• Neurodiagnostic Center of Miami Corp
• Neuroglee Care PLLC

• Electrodiagnostic Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Electrodiagnostic Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.