Healthcare Provider Details

I. General information

NPI: 1114962065
Provider Name (Legal Business Name): HIGH QUALITY XRAY SERVICE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5757 SW 8TH ST SUITE# 119
WEST MIAMI FL
33144-5060
US

IV. Provider business mailing address

5757 SW 8TH ST SUITE# 119
WEST MIAMI FL
33144-5060
US

V. Phone/Fax

Practice location:
  • Phone: 305-265-2050
  • Fax:
Mailing address:
  • Phone: 305-265-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSE A CRUZ
Title or Position: PRESIDENT
Credential:
Phone: 305-265-2050