Healthcare Provider Details

I. General information

NPI: 1982369898
Provider Name (Legal Business Name): CT-MRI OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 TAMIAMI CANAL RD
MIAMI FL
33144-2538
US

IV. Provider business mailing address

41 TAMIAMI CANAL RD
MIAMI FL
33144-2538
US

V. Phone/Fax

Practice location:
  • Phone: 305-392-0094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DARIEM BERMUDEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-392-0094