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Organization
RIVERO DIAGNOSTIC CTER-PLANTATION INC
Active
Organization
RIVERO DIAGNOSTIC CTER-PLANTATION INC
Active
Other names
RDC PLANTATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIESER LEON (OWNER)
(954) 791-9729
Entity
Organization
Contact information
Practice address
7050 NW 4TH ST, #202, PLANTATION, FL 33317-2247
(954) 791-9729
(954) 791-9724
Mailing address
7050 NW 4TH ST, #202, PLANTATION, FL 33317-2247
(954) 791-9729
(954) 791-9724
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
JR24949000
FL
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9503
ACHA
FL
Enumeration date
07/18/2012
Last updated
09/06/2012
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