Healthcare Provider Details

I. General information

NPI: 1700700168
Provider Name (Legal Business Name): CT-MRI OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

45 SW 71ST AVE
MIAMI FL
33144-2613
US

IV. Provider business mailing address

45 SW 71ST AVE
MIAMI FL
33144-2613
US

V. Phone/Fax

Practice location:
  • Phone: 305-392-0094
  • Fax: 305-249-1276
Mailing address:
  • Phone: 305-392-0094
  • Fax: 305-249-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

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