NPIMap

Organization Active NPI

Vital Imaging Diagnostic Centers LLC

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1942630306
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
VITAL IMAGING DIAGNOSTIC CENTERS LLC
Practice address
7101 SW 99TH Ave
Suite 109
Miami, FL 33173
Phone
(305) 270-1000
NPI assigned
Nov 22, 2013
Last updated
Sep 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dr. Juan Puig
Title
MGRM
Phone
(305) 596-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

7101 SW 99TH Ave
Suite 109
Miami, FL 33173

Mailing address

7101 SW 99TH Ave
Suite 109
Miami, FL 33173-4661
Phone (305) 596-9992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140225001827 FL Part B Supplier - Clinic/Group Practice 7315177045 Receives reassigned benefits from 16 practitioners
Practice locations: Miami, FL; North Miami, FL; Homestead, FL; Hialeah, FL; Doral, FL

National Provider Directory

National Provider Directory
Tax ID family
Vital Imaging Diagnostic Centers LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3155 NW 82nd Ave
Ste 201
Doral, FL 33122
Phone (786) 280-2989

610 Washington Ave
Homestead, FL 33030

15055 SW 122nd Ave
Miami, FL 33186
Phone (786) 409-7662

3150 Coral Way
Miami, FL 33145
Phone (303) 596-9992

1100 NE 125th St
North Miami, FL 33161

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1942630306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SW 99TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734661",
            "telephone_number": "305-596-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 SW 99TH AVE",
            "address_2": "SUITE 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-270-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL IMAGING DIAGNOSTIC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "305-596-9992",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "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 Sep 18, 2018; 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.