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NPI Code Detail

MEDICARE: WEST GABLES OPEN MRI SERVICES

MEDICARE: WEST GABLES OPEN MRI SERVICES
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
1261QR0200XRadiology Clinic/Center6178FL

General Provider Information

NPI Number : 1447203914
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST GABLES OPEN MRI SERVICES
Provider Business Mailing Address
First Line : 3233 PALM AVE
Second Line : SUITE 102
City : HIALEAH
State : FL
Zip : 33012-5427
Country : US
Telephone Number : 305-612-4674
Fax Number :
Provider Business Practice Location Address
First Line : 3233 PALM AVE
Second Line : SUITE 102
City : HIALEAH
State : FL
Zip : 33012-5427
Country : US
Telephone Number : 305-612-4674
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. CARLOS GARCIA
Credential :
Telephone Number : 305-612-4674
Provider Enumeration Date : 05/18/2006
Last Update Date : 08/22/2020

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