MEDICARE: RAD IMAGING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	ME82573	FL
2	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	ME82573	FL
3	2085N0700X	Neuroradiology Physician	ME82573	FL
4	2085N0904X	Nuclear Radiology Physician	ME82573	FL
5	2085P0229X	Pediatric Radiology Physician	ME82573	FL
6	2085R0202X	Diagnostic Radiology Physician	ME82573	FL
7	2085R0204X	Vascular & Interventional Radiology Physician	ME82573	FL
8	2085U0001X	Diagnostic Ultrasound Physician	ME82573	FL

General Provider Information

NPI Number	:	1184878100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAD IMAGING INC

Provider Business Mailing Address
First Line	:	5111 CHEROKEE AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2624
Country	:	US
Telephone Number	:	786-348-9633
Fax Number	:	305-722-3634

Provider Business Practice Location Address
First Line	:	5111 CHEROKEE AVE
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2624
Country	:	US
Telephone Number	:	786-348-9633
Fax Number	:	305-722-3634

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARUJA SANTIAGO VELEZ
Credential	:	MD
Telephone Number	:	786-348-9633

Provider Enumeration Date	:	11/05/2008
Last Update Date	:	11/05/2008

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Directions to “RAD IMAGING INC ” Practice Location

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