Healthcare Provider Details

I. General information

NPI: 1740116896
Provider Name (Legal Business Name): DMI OF KENDALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 SW 107TH AVE
MIAMI FL
33176-1451
US

IV. Provider business mailing address

8900 SW 107TH AVE
MIAMI FL
33176-1451
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-0570
  • Fax: 305-271-0520
Mailing address:
  • Phone: 305-271-0570
  • Fax: 305-271-0520

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: DANIEL MARTINEZ
Title or Position: PRESIDENT
Credential: SR.
Phone: 305-471-4581