Healthcare Provider Details

I. General information

NPI: 1508711961
Provider Name (Legal Business Name): A&T DIAGNOSTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13583 SW 49TH TER
MIAMI FL
33175-3805
US

IV. Provider business mailing address

4487 NW 36TH ST
MIAMI SPRINGS FL
33166-7225
US

V. Phone/Fax

Practice location:
  • Phone: 305-390-9167
  • Fax: 786-840-2710
Mailing address:
  • Phone: 305-390-9167
  • Fax: 786-840-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: ALAIN DELGADO
Title or Position: OWNER
Credential:
Phone: 305-390-9167