Organization
CENTURY RADIOLOGY PA
Active
Organization
CENTURY RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX ALONSO MD (PRESIDENT)
(954) 432-0578
Entity
Organization
Contact information
Practice address
9333 SW 152ND ST, PALMETTO BAY, FL 33157-1778
(954) 432-0578
(954) 432-5060
Mailing address
5901 SW 114TH TER, MIAMI, FL 33156-5030
(954) 432-0578
(954) 432-5060
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
09/07/2012
Last updated
09/19/2012
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