Organization
VITAL IMAGING DIAGNOSTIC CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PUIG (MGRM)
(305) 596-9992
Entity
Organization
Contact information
Practice address
3320 PALM AVE, HIALEAH, FL 33012-5241
(305) 596-9992
Mailing address
7101 SW 99TH AVE, MIAMI, FL 33173-4661
(305) 596-9992
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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