AMBULATORY DIAGNOSTIC CENTER INC NPI 1407957434

NPI Information

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

Taxonomy Codes

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Other Identifiers

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