Healthcare Provider Details

I. General information

NPI: 1164413985
Provider Name (Legal Business Name): A M X RAY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MADRID ST STE 212
CORAL GABLES FL
33134-2289
US

IV. Provider business mailing address

801 MADRID ST STE 212
CORAL GABLES FL
33134-2289
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-8426
  • Fax: 305-854-8436
Mailing address:
  • Phone: 305-854-8426
  • Fax: 305-854-8436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. ALBERTO MONTOTO
Title or Position: PRESIDENT
Credential:
Phone: 305-854-8426