PEMBROKE PINES MRI INC (NPI# 1053346643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053346643 |
| Entity Type | Organization |
| Organization Name | PEMBROKE PINES MRI INC |
| Other Organization Name | DPI OF PEMBROKE PINES |
| Practice Address |
10950 Pines Blvd Pembroke Pines FL 33026-5216 |
| Mailing Address |
Po Box 5206 Ft Lauderdale FL 33310-5206 |
| Practice Telephone | 9545664551 |
| Practice Fax Number | 9545664565 |
| Mailing Telephone | 9545664551 |
| Mailing Fax Number | 9545664565 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | MR. HOWARD STEPHAN DEKKERS (CEO) |
| Authorized Official Telephone | 9545664551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AETNA | 7555441 | 01 |
| FL | BLUE CROSS BLUE SHIELD | V2624 | 01 |
| Other Name | Type Code |
|---|---|
| DPI of Pembroke Pines | Doing Business As Name - Organization |
| Street Address |
10950 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750721502 | Luz Marina Cure | Radiology | 10950 Pines Blvd, Pembroke Pines, FL 33026-5208 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730583675 | Stephanie Preston | Clinic/Center | 2221 N University Dr Ste A, Pembroke Pines, FL 33024-3603 | 2014-10-21 |
| 1073761367 | A1 Imaging II of Pembroke Pines LLC | Clinic/Center | 330 S Flamingo Rd, Pembroke Pines, FL 33027-1770 | 2008-08-29 |
| 1124111414 | Pines Radiology Center Inc | Clinic/Center | 9050 Pines Blvd Ste 170, Pembroke Pines, FL 33024-6400 | 2006-10-02 |
| 1932102191 | Medfund LLC | Clinic/Center | 8384 Pines Blvd, Pembroke Pines, FL 33024-6616 | 2005-05-23 |
| 1609273325 | Empire Imaging, Inc | Clinic/Center | 2221 N University Dr Ste A, Pembroke Pines, FL 33024-3603 | 2014-11-24 |
| 1174757082 | Quantum Imaging Holdings, LLC | Clinic/Center | 2221 N University Dr, Suite A, Pembroke Pines, FL 33024-3603 | 2009-05-06 |
| 1407094394 | A1 Imaging Centers LLC | Clinic/Center | 8384 Pines Blvd, Pembroke Pines, FL 33024-6616 | 2009-01-30 |
| 1336308386 | A1 Imaging of Pembroke Pines LLC | Clinic/Center | 8384 Pines Blvd, Pembroke Pines, FL 33024-6616 | 2008-06-05 |
| 1700917788 | Pines Diagnostic Testing Group Inc | Clinic/Center | 10001 Pines Blvd, Pembroke Pines, FL 33024-6136 | 2007-03-08 |
| 1427189406 | Pembroke West Diagnostic Imaging Inc | Clinic/Center | 10001 Pines Blvd, Pembroke Pines, FL 33024-6136 | 2007-03-08 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
Please comment or provide details below to improve the information on PEMBROKE PINES MRI INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.