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NPI Code Detail

MEDICARE: SANITAS E COLONIAL IDTC

MEDICARE: SANITAS E COLONIAL IDTC
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/Center

General Provider Information

NPI Number : 1528866589
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANITAS E COLONIAL IDTC
Provider Business Mailing Address
First Line : 8400 NW 33RD ST STE 201
Second Line :
City : DORAL
State : FL
Zip : 33122-1937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11750 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32817-4624
Country : US
Telephone Number : 407-926-0564
Fax Number :
Authorized Official
Title or Position : CFO
Name : MAYRA G TORRES
Credential :
Telephone Number : 718-918-2370
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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Directions to “SANITAS E COLONIAL IDTC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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