Healthcare Provider Details
I. General information
NPI: 1700970159
Provider Name (Legal Business Name): MRI AT SUNSET INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9290 SUNSET DRIVE
MIAMI FL
33173
US
IV. Provider business mailing address
PO BOX 160608
MIAMI FL
33116
US
V. Phone/Fax
- Phone: 305-273-9290
- Fax: 305-270-6519
- Phone: 305-273-9290
- Fax: 305-270-6519
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1200X |
| Taxonomy | Magnetic Resonance Imaging (MRI) Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YVETTE
A
ALMEIDA
Title or Position: PRESIDENT
Credential:
Phone: 305-271-8562