Organization
SANTA CLARA DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY RUIZ (PRESIDENT)
(305) 498-5658
Entity
Organization
Contact information
Practice address
1275 W 47TH PL, 416, HIALEAH, FL 33012-3394
(305) 828-1749
(305) 828-1022
Mailing address
1275 W 47TH PL, 416, HIALEAH, FL 33012-3394
(305) 828-1749
(305) 828-1022
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
FL
Other
Enumeration date
09/09/2005
Last updated
09/26/2011
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