Organization
CT IMAGING INC
Active
Organization
CT IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR M PENA (PRESIDENT)
(305) 887-7562
Entity
Organization
Contact information
Practice address
395 W 10TH ST, SUITE 2, HIALEAH, FL 33010-3810
(305) 887-7562
(786) 260-0974
Mailing address
395 W 10TH ST, SUITE 2, HIALEAH, FL 33010-3810
(305) 887-7562
(786) 260-0974
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371319900
—
FL
Enumeration date
08/14/2006
Last updated
10/23/2012
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