AMBULATORY DIAGNOSTIC CENTER INC NPI 1407957434

NPI Information

  • NPI: 1407957434
  • Provider Name: AMBULATORY DIAGNOSTIC CENTER INC
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • Doing Business As: PONCE DE LEON DIAGNOSTIC SERVICES LTD
  • Address: 747 PONCE DE LEON BLVD
    FIRST FLOOR
    CORAL GABLES, FL
    ZIP 33134
  • Phone: (305) 446-7893

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NPI Details

AMBULATORY DIAGNOSTIC CENTER INC is a radiology and mammography clinic center in Coral Gables, FL. AMBULATORY DIAGNOSTIC CENTER INC NPI is 1407957434. The provider is registered as an organization entity type.
The provider Is Doing Business As Ponce De Leon Diagnostic Services Ltd.

The provider's business location address is:

747 PONCE DE LEON BLVD
FIRST FLOOR
CORAL GABLES, FL
ZIP 33134-049
Phone: (305) 446-7893
Fax: (305) 442-1183

The provider's authorized official is Wilfred Braceras .
The authorized official title is President and has the following contact phone number (305) 863-8860.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Screening mammography (HCPCS:77067)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of both hips, 2 views (HCPCS:73521)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of both knees while standing (HCPCS:73565)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ct scan of abdomen without contrast (HCPCS:74150)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
  • X-ray of ribs on side of body, 2 views (HCPCS:71100)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries (HCPCS:A9503)
  • Ultrasound of heart (HCPCS:93307)

The enumeration date for this NPI number is 9/25/2006 and was last updated on 10/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0206XClinic/CenterRadiology, MammographyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1058543200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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