CHILDREN'S DIAGNOSTIC TESTING GROUP OF MIAMI, INC. (NPI# 1932319852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932319852 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DIAGNOSTIC TESTING GROUP OF MIAMI, INC. |
| Practice Address |
7400 Sw 87th Ave Suite 220 Miami FL 33173-5458 |
| Mailing Address |
9485 Sw 72nd St Suite A150 Miami FL 33173-3242 |
| Practice Telephone | 3052756069 |
| Practice Fax Number | 3054128265 |
| Mailing Telephone | 3052756069 |
| Mailing Fax Number | 3054128265 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEPHEN E CIANCIULLI (PRESIDENT) |
| Authorized Official Telephone | 3052756069 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| X | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
7400 SW 87TH AVE SUITE 220 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-5458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366421216 | Aldo E Ruiz | Physical Therapist | 7400 Sw 87th Ave, Suite 200, Miami, FL 33173-5458 | 2006-01-10 |
| 1235653833 | Alyssa Filliben | Physician Assistant | 7400 Sw 87th Ave, Miami, FL 33173-5458 | 2017-07-26 |
| 1336689512 | Sarah R Anderson | Nurse Practitioner | 7400 Sw 87th Ave, Suite 120b, Miami, FL 33173-5458 | 2017-03-07 |
| 1902258569 | David Dinicola | Nurse Practitioner | 7400 Sw 87th Ave, Suite 100, Miami, FL 33173-5458 | 2016-07-07 |
| 1548629405 | Heartwell | Nurse Practitioner | 7400 Sw 87th Ave, Suite 100, Miami, FL 33173-5458 | 2016-02-19 |
| 1982000337 | Veronica Lissette Bellumio | Nurse Practitioner | 7400 Sw 87th Ave, 100, Miami, FL 33173-5458 | 2014-11-12 |
| 1750795415 | Nicole Barbara Orizondo | Physician Assistant | 7400 Sw 87th Ave, Miami, FL 33173-5458 | 2014-06-19 |
| 1699190470 | Stephanie Toledo | Nurse Practitioner | 7400 Sw 87th Ave, Suite 100, Miami, FL 33173-5458 | 2014-03-03 |
| 1215272638 | Natacha Uguet | Nurse Practitioner | 7400 Sw 87th Ave, Suite 240, Miami, FL 33173-5458 | 2012-12-11 |
| 1326322751 | Ics Radiology, Inc | Radiology | 7400 Sw 87th Ave, Suite 120b, Miami, FL 33173-5458 | 2011-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1104478601 | Flagler Mri Diagnostic Inc | Clinic/Center | 8000 W Flagler St Ste 102, Miami, FL 33144-2157 | 2019-07-15 |
| 1962779678 | Paraiso Diagnostic Center Inc | Clinic/Center | 2165 W Flagler St, Miami, FL 33135-1638 | 2011-11-23 |
| 1225341506 | Accu-med Diagnostic Centers LLC | Clinic/Center | 21307 Nw 2nd Ave, Miami, FL 33169-2112 | 2010-07-15 |
| 1700970159 | Mri At Sunset Inc | Clinic/Center | 9290 Sunset Drive, Miami, FL 33173 | 2006-10-02 |
| 1730115346 | Coral Way Mri & Diagnostics Lllp | Clinic/Center | 1757 Coral Way, Miami, FL 33145-2728 | 2006-06-24 |
| 1053386037 | Star Imaging, LLC | Clinic/Center | 7808 Coral Way, Miami, FL 33155-6523 | 2006-02-22 |
| 1154394609 | Gables Mr A | Clinic/Center | 7404 Sw 48th St, Miami, FL 33155-4415 | 2006-02-07 |
| 1497732788 | Presgar Imaging of Cmi South Lc | Clinic/Center | 4860 Sw 72nd Ave, Miami, FL 33155-5526 | 2005-12-28 |
| 1447237722 | Presgar Imaging of Cmi North Lc | Clinic/Center | 1860 Ne Miami Gardens Dr, Miami, FL 33179-5036 | 2005-12-28 |
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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.