Organization
DIAGNOSTIC ALIANZA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARITA SOTO GRANADO (PRESIDENT)
(786) 319-6574
Entity
Organization
Contact information
Practice address
8739 SW 4TH LN, MIAMI, FL 33174-2438
(786) 319-6574
(786) 219-3364
Mailing address
8739 SW 4TH LN, MIAMI, FL 33174-2438
(786) 319-6574
(786) 219-3364
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11297
AHCA
FL
Enumeration date
06/20/2018
Last updated
06/20/2018
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