NPIMap

Organization Active NPI

Vital Imaging Diagnostic Centers LLC

  • Diagnostic Radiology Physician
  • Hialeah, FL
National Provider Identifier
1972071108
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VITAL IMAGING DIAGNOSTIC CENTERS LLC
Practice address
3333 Palm Ave Unit 1
Hialeah, FL 33012-5212
Phone
(305) 596-9992
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

3333 Palm Ave Unit 1
Hialeah, FL 33012-5212

Mailing address

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

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

3333 Palm Ave
Unit 1
Hialeah, FL 33012

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1972071108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SW 99TH AVE",
            "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": "3333 PALM AVE UNIT 1",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125212",
            "telephone_number": "305-596-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL IMAGING DIAGNOSTIC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "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"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "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 Nov 6, 2018; 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.