Organization
AMBULATORY DIAGNOSTIC CENTER INC
Active
Other names
Ponce De Leon Diagnostic Services Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH BRACERAS (PRESIDENT)
(305) 863-8860
Entity
Organization
Contact information
Practice address
747 PONCE DE LEON BLVD, FIRST AND SECOND FLOOR, CORAL GABLES, FL 33134-2049
(305) 446-7893
(305) 442-1183
Mailing address
780 NW 42ND AVE STE 301, MIAMI, FL 33126-5536
(305) 446-7893
(305) 442-1183
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058543200
—
FL
Enumeration date
09/25/2006
Last updated
03/02/2026
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