MEDICARE: UNIVERSAL X RAYS CORP

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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	HCC4608	FL

General Provider Information

NPI Number	:	1720061237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL X RAYS CORP

Provider Business Mailing Address
First Line	:	PO BOX 441082
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-1082
Country	:	US
Telephone Number	:	305-559-0003
Fax Number	:	305-559-0002

Provider Business Practice Location Address
First Line	:	175 FONTAINEBLEAU BLVD STE 1K
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33172-4511
Country	:	US
Telephone Number	:	305-559-0003
Fax Number	:	305-559-0002

Authorized Official
Title or Position	:	MANAGER
Name	:	SERGIO E MILO
Credential	:
Telephone Number	:	305-559-0003

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	08/07/2025

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Directions to “UNIVERSAL X RAYS CORP ” Practice Location

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