Organization
PRESTIGE DIAGNOSTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN RIVAS (PRESIDENT)
(786) 639-0505
Entity
Organization
Contact information
Practice address
6474 MIAMI LAKES DR E # 210C, MIAMI LAKES, FL 33014-2756
(786) 639-0505
Mailing address
6474 MIAMI LAKES DR E # 210C, MIAMI LAKES, FL 33014-2756
(786) 639-0505
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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