Healthcare Provider Details

I. General information

NPI: 1235167883
Provider Name (Legal Business Name): DIAGNOSTIC ULTRASOUND CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 SW 8TH ST SUITE 201B
CORAL GABLES FL
33134-2300
US

IV. Provider business mailing address

5200 SW 8TH ST SUITE 201B
CORAL GABLES FL
33134-2300
US

V. Phone/Fax

Practice location:
  • Phone: 305-448-5580
  • Fax: 305-447-8725
Mailing address:
  • Phone: 305-448-5580
  • Fax: 305-447-8725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ARACELYS LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 13054485580