Healthcare Provider Details

I. General information

NPI: 1730156613
Provider Name (Legal Business Name): MRI ASSOCIATES OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3657 S MIAMI AVE
MIAMI FL
33133-4205
US

IV. Provider business mailing address

2555 PONCE DE LEON BLVD 4TH FLOOR
CORAL GABLES FL
33134-6010
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-8317
  • Fax:
Mailing address:
  • Phone: 305-702-5135
  • Fax: 305-441-2144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARJORIE SANDERS
Title or Position: GENERAL PARTNER
Credential: MD
Phone: 305-446-4681