Healthcare Provider Details

I. General information

NPI: 1356605976
Provider Name (Legal Business Name): ALPHA MRI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 06/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3098 STIRLING RD STE 101
HOLLYWOOD FL
33021-2015
US

IV. Provider business mailing address

3098 STIRLING RD STE 101
HOLLYWOOD FL
33021-2015
US

V. Phone/Fax

Practice location:
  • Phone: 954-674-3544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSE JOAQUIN BEGOTI JR.
Title or Position: OWNER
Credential: DC
Phone: 954-674-3544