Ponce De Leon Diagnostic Services Ltd

LBN: Ambulatory Diagnostic Center Inc
Ponce De Leon Diagnostic Services Ltd is an health care organization with primary practice located at 747 Ponce De Leon Blvd First Floor, Coral Gables FL 33134-2049. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mammography, which is considered as the primary health care specialty. Ambulatory Diagnostic Center Inc can be contacted via phone (305) 446-7893, or through Braceras, Wilfred via phone (305) 863-8860.

Contact Information

Primary practice address
747 Ponce De Leon Blvd First Floor Coral Gables FL 33134-2049
Phone: (305) 446-7893
Fax: (305) 442-1183
Website:
Map and Directions
Authorized official contact:
Name: Braceras, Wilfred
Phone: (305) 863-8860

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X

Profile Details

NPI number 1407957434
LBN Legal business name Ambulatory Diagnostic Center Inc
DBA Doing business as Ponce De Leon Diagnostic Services Ltd
Authorized official Braceras, Wilfred
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407957434 NPPES
Florida MEDICAID 058543200

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