Organization
VITAL IMAGING DIAGNOSTIC CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN PUIG (MGRM)
(305) 596-9992
Entity
Organization
Contact information
Practice address
7101 SW 99TH AVE, SUITE 109, MIAMI, FL 33173
(305) 270-1000
Mailing address
7101 SW 99TH AVE, SUITE 109, MIAMI, FL 33173-4661
(305) 596-9992
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
09/18/2018
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