Organization
RADIOLOGY PROFESIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSVALDO E DE LA PEDRAJA M.D. (PRESIDENT)
(305) 447-1415
Entity
Organization
Contact information
Practice address
4776 SW 8TH ST, CORAL GABLES, FL 33134-2564
(305) 447-1415
(305) 446-2435
Mailing address
4776 SW 8TH ST, CORAL GABLES, FL 33134-2564
(305) 447-1415
(305) 446-2435
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
FL
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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