Organization
LA COLONIA DIAGNOSTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YENIN ACEVEDO FMG (PRESIDENT)
(305) 608-1082
Entity
Organization
Contact information
Practice address
395 W 10TH ST, HIALEAH, FL 33010
(305) 823-3312
(305) 884-3989
Mailing address
167 W 23RD ST, HIALEAH, FL 33010
(305) 823-3312
(305) 884-3989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
06/29/2021
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