Healthcare Provider Details

I. General information

NPI: 1366557068
Provider Name (Legal Business Name): ATENAS MEDICAL DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 SW 139TH AVE
MIAMI FL
33175-6511
US

IV. Provider business mailing address

2825 SW 139TH AVE
MIAMI FL
33175-6511
US

V. Phone/Fax

Practice location:
  • Phone: 305-226-4874
  • Fax: 305-226-4874
Mailing address:
  • Phone: 305-226-4874
  • Fax: 305-226-4874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: JORGE LUIS SANCHEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-226-4874