NPIMap

Organization Active NPI

Partners in Radiology L L C

Doing business as South Florida Diagnostic Imaging

  • Radiology Clinic/Center
  • Miami, FL
National Provider Identifier
1972603058
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
HCC 3882 Issued in FL
Legal business name
PARTNERS IN RADIOLOGY L L C
Doing business as
South Florida Diagnostic Imaging
Practice address
11801 SW 90TH St
Suite 102
Miami, FL 33186-2182
Phone
(305) 270-6001
Fax
(305) 270-6955
NPI assigned
Sep 25, 2006
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Mr. Ruben Llera
Title
President / Ceo
Phone
(305) 270-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X HCC 3882 FL Primary

Addresses

Primary practice location

11801 SW 90TH St
Suite 102
Miami, FL 33186-2182

Mailing address

11801 SW 90TH St
Suite 102
Miami, FL 33186-2182
Phone (305) 270-6001

Other names 1

  • SOUTH FLORIDA DIAGNOSTIC IMAGING Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040818000786 FL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5193703981 Practice locations: Miami, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Partners in Radiology L L C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

11801 SW 90th St
Ste 102
Miami, FL 33186
Phone (305) 270-6001

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1972603058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 SW 90TH ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862182",
            "telephone_number": "305-270-6001",
            "fax_number": "305-270-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 SW 90TH ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862182",
            "telephone_number": "305-270-6001",
            "fax_number": "305-270-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN RADIOLOGY L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "LLERA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "305-270-6001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC 3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH FLORIDA DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH FLORIDA DIAGNOSTIC IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 8, 2022; 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.