MEDICARE: DIAGNOSTIC CENTER OF AMERICA 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	208D00000X	General Practice Physician	HCC9080	FL

General Provider Information

NPI Number	:	1447540703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC CENTER OF AMERICA INC

Provider Business Mailing Address
First Line	:	8040 NW 95TH ST STE 223-224
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2362
Country	:	US
Telephone Number	:	305-261-2200
Fax Number	:	305-261-2231

Provider Business Practice Location Address
First Line	:	8040 NW 95TH ST STE 223-224
Second Line	:
City	:	HIALEAH GARDENS
State	:	FL
Zip	:	33016-2362
Country	:	US
Telephone Number	:	305-261-2200
Fax Number	:	305-261-2231

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCELINO DOMINGUEZ VALDES
Credential	:
Telephone Number	:	305-261-2200

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	06/05/2025

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Directions to “DIAGNOSTIC CENTER OF AMERICA INC ” Practice Location

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