Organization
XL DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE SANTOS (PRESIDENT)
(305) 969-9676
Entity
Organization
Contact information
Practice address
13205 SW 137TH AVE, SUITE 128, MIAMI, FL 33186-5331
(305) 969-9676
(305) 969-9656
Mailing address
13205 SW 137TH AVE, SUITE 128, MIAMI, FL 33186-5331
(305) 969-9676
(305) 969-9656
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
HCC 3991
FL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
HCC3991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC3991
AHCA LICENSE
FL
Enumeration date
03/14/2007
Last updated
09/11/2025
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