STUART GOTTLIEB MD CHARTERED (NPI# 1174516637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174516637 |
| Entity Type | Organization |
| Organization Name | STUART GOTTLIEB MD CHARTERED |
| Other Organization Name | GABLES DIAGNOSTIC IMAGING ASSOCIATES |
| Practice Address |
475 Biltmore Way Suite 106 Coral Gables FL 33134-5755 |
| Mailing Address |
475 Biltmore Way Suite 106 Coral Gables FL 33134-5717 |
| Practice Telephone | 3054611700 |
| Practice Fax Number | 3054611716 |
| Mailing Telephone | 3054611700 |
| Mailing Fax Number | 3054611716 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | VICTOR GUILLERMO SOTO (PRESIDENT) |
| Authorized Official Telephone | 3054611700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 376997600 | 05 |
| Other Name | Type Code |
|---|---|
| Gables Diagnostic Imaging Associates | Doing Business As Name - Organization |
| Street Address |
475 BILTMORE WAY SUITE 106 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33134-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285012146 | Integrated Dermatology of Coral Gables, LLC | Dermatology | 475 Biltmore Way, Suite 308, Coral Gables, FL 33134 | 2015-05-12 |
| 1104252139 | Manuel R Seage | Dentist | 475 Biltmore Way, Suite 302, Coral Gables, FL 33134-5755 | 2013-09-23 |
| 1558678599 | Esther Levin Md LLC | Internal Medicine | 475 Biltmore Way, Suite 401, Coral Gables, FL 33134-5755 | 2010-09-13 |
| 1275765018 | Armando A Garcia Md Pa | Internal Medicine | 475 Biltmore Way, Suite 204, Coral Gables, FL 33134-5755 | 2009-08-12 |
| 1780838656 | Atlantic Foot and Ankle LLC | Podiatrist | 475 Biltmore Way, Suite 402, Coral Gables, FL 33134-5755 | 2008-11-05 |
| 1053529677 | Jose Manuel Sanchez Md Pa | Internal Medicine | 475 Biltmore Way, 204, Coral Gables, FL 33134-5736 | 2007-05-18 |
| 1720208986 | Shari Alane Witkoff | Dentist | 475 Biltmore Way, Suite 310, Coral Gables, FL 33134-5755 | 2007-04-27 |
| 1881813723 | Florida Foot & Ankle Associates, LLC | Podiatrist | 475 Biltmore Way, Suite 102, Coral Gables, FL 33134-5755 | 2007-04-25 |
| 1124162458 | Elizabeth Caridad Hernandez | Podiatrist | 475 Biltmore Way, Suite 205, Coral Gables, FL 33134-5755 | 2007-02-19 |
| 1962552687 | Advanced Imaging Services Inc | Radiologic Technologist | 475 Biltmore Way, Suite 200, Coral Gables, FL 33134 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179794 | Aubree Udell | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2020-06-23 |
| 1346880481 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 1906 Ponce De Leon Boulvard, Coral Gables, FL 33134 | 2020-01-07 |
| 1306494406 | Giselle Gutierrez | Dermatology | 401 Coral Way, Suite 207, 401 Coral Way Suite 207, Coral Gables, FL 33134 | 2019-09-01 |
| 1376190363 | Jessica Fishel | Behavior Technician | 1500 Douglas Rd., Suite 230, Coral Gables, FL 33134 | 2019-08-23 |
| 1962057380 | Ariel Betancourt | Behavior Technician | 3905 West Flagler St, Apt# 6, Miami, FL 33134 | 2019-08-02 |
| 1023662574 | April Gonzalez | Physical Therapy Assistant | 1500 Dougla Rd, Coral Gables, FL 33134 | 2019-08-01 |
| 1255999678 | Arturo Corces Md Pa | Orthopaedic Surgery | 747 Ponce Deleon Blvd, Ste 505, Coral Gables, FL 33134 | 2019-05-31 |
| 1386200673 | Life Bridge Community Center | Case Management | 5246 Sw 8th St Ste 205c, Miami, FL 33134 | 2019-05-13 |
| 1083187884 | Sun Health Care Inc | Clinic/Center | 3990 West Flagler Street, Suite 406, Miami, FL 33134 | 2019-01-04 |
| 1902389471 | Jamie Lynn Innis | Physician Assistant | 314 Romano Ave, Coral Gables, FL 33134 | 2018-09-11 |
| Find all providers in zip 33134 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063456853 | Alfe Ultrasound & Radiology Services Inc | Physiological Laboratory | 5200 Sw 8 St, Ste 201b, Coral Gables, FL 33134 | 2006-06-15 |
| 1235167883 | Diagnostic Ultrasound Center | Physiological Laboratory | 5200 Sw 8th St, Suite 201b, Coral Gables, FL 33134-2300 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240192 | Ohi West Medical Group, LLC | Physiological Laboratory | 2201 Central Ave Ste 100, St Petersburg, FL 33713-8844 | 2020-09-17 |
| 1619446853 | Myvy Southwest Imaging LLC | Physiological Laboratory | 1160 Kane Concourse Ste 402, Bay Harbor Is, FL 33154-2059 | 2018-11-16 |
| 1366919961 | Richard Thomas Escobar | Physiological Laboratory | 2111 S Pine Ave Ste B, Ocala, FL 34471-8194 | 2018-11-01 |
| 1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
| 1124486931 | R&r Medx Solutions LLC | Physiological Laboratory | 7144 Stirling Rd, Ste 185, Hollywood, FL 33024-1650 | 2016-02-08 |
| 1730568486 | My Diagnostic Team Inc | Physiological Laboratory | 3114 45th St, Suite 9, West Palm Beach, FL 33407-1945 | 2015-05-28 |
| 1508260399 | Douglas Lyons | Physiological Laboratory | 1250 Diana Ave, Naples, FL 34103-4567 | 2014-10-22 |
| 1275956005 | University of South Florida | Physiological Laboratory | 3702 Spectrum Blvd, Suite 165, Tampa, FL 33612-9444 | 2014-01-30 |
| 1891125936 | Portable Medical Diagnostics, Inc | Physiological Laboratory | 8080 Belvedere Rd Ste 6, West Palm Beach, FL 33411-6224 | 2013-11-26 |
| 1083950752 | Beachway Therapy Treatment Center LLC | Physiological Laboratory | 705 Bond Way Ste B, Delray Beach, FL 33483-5826 | 2012-12-27 |
| Find all providers with the same taxonomy | ||||
| City | CORAL GABLES |
| Zip Code | 33134 |
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| 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.