Organization
MP DIAGNOSTIC LTD
Active
Organization
MP DIAGNOSTIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO GARCIA VILLEGAS (CEO)
(305) 279-7275
Entity
Organization
Contact information
Practice address
9090 SW 87TH CT, MIAMI, FL 33176-2305
(305) 279-7275
(305) 675-3627
Mailing address
PO BOX 160608, MIAMI, FL 33116-0608
(305) 279-7275
(786) 219-2908
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004623600
—
FL
01
—
V2339
BC/BS
FL
Enumeration date
08/25/2005
Last updated
09/22/2015
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