Organization
LA COLONIA DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YENIN ACEVEDO FMG (PRESIDENT)
(305) 608-1082
Entity
Organization
Contact information
Practice address
8399 PINES BLVD, PEMBROKE PINES, FL 33024-6607
(305) 823-3312
(786) 360-2327
Mailing address
167 W 23RD ST, HIALEAH, FL 33010-2211
(305) 608-1082
(786) 360-2327
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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