MEDICARE: INSPIRED INTERVENTIONAL RADIOLOGY SERVICES LLC

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	261QR0200X	Radiology Clinic/Center
2	261QR0206X	Mammography Clinic/Center
3	2085R0204X	Vascular & Interventional Radiology Physician	ME97951	FL

General Provider Information

NPI Number	:	1942727516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRED INTERVENTIONAL RADIOLOGY SERVICES LLC

Provider Business Mailing Address
First Line	:	11011 SHERIDAN ST STE 102
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1501
Country	:	US
Telephone Number	:	754-208-3310
Fax Number	:

Provider Business Practice Location Address
First Line	:	11011 SHERIDAN ST STE 102
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33026-1501
Country	:	US
Telephone Number	:	754-208-3310
Fax Number	:	954-200-8725

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. HILARIO MARTINEZ
Credential	:	MD
Telephone Number	:	845-705-8983

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	06/27/2024

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