# SOUTH MIAMI DIAGNOSTIC CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619849726
- **Authorized official:** MONICA ALFONZO (CFO)
- **Authorized official phone:** (305) 300-1093

## Contact information

- **Practice address:** 7000 SW 62ND AVE STE 100B, SOUTH MIAMI, FL 33143-4717
- **Practice address phone:** (786) 542-9844
- **Mailing address:** 7000 SW 62ND AVE STE 100B, SOUTH MIAMI, FL 33143-4717
- **Mailing address phone:** (786) 542-9844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2025
- **Last updated:** 09/18/2025