Healthcare Provider Details

I. General information

NPI: 1740487586
Provider Name (Legal Business Name): EIBER RADIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7180 N UNIVERSITY DR SUITE 130
TAMARAC FL
33321-2916
US

IV. Provider business mailing address

99 W 49TH ST
HIALEAH FL
33012-3709
US

V. Phone/Fax

Practice location:
  • Phone: 954-718-4560
  • Fax: 954-718-4561
Mailing address:
  • Phone: 786-319-0707
  • Fax: 305-817-6490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Internal Medicine Physician
License NumberK3166
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberK3166
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberK3166
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License NumberK3166
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License NumberK3166
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License NumberK3166
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberK3166
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberK3166
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberK3166
License Number StateFL
# 10
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberK3166
License Number StateFL
# 11
Primary TaxonomyN
Taxonomy Code2085R0205X
TaxonomyRadiological Physics Physician
License NumberK3166
License Number StateFL
# 12
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberK3166
License Number StateFL

VIII. Authorized Official

Name: OLGA L. CASANAS
Title or Position: ADMINISTRATOR
Credential: RT, MR, ARRT, RA
Phone: 786-319-0707