Provider Demographics
NPI:1164413985
Name:A M X RAY CORPORATION
Entity Type:Organization
Organization Name:A M X RAY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-854-8426
Mailing Address - Street 1:801 MADRID ST
Mailing Address - Street 2:STE 212
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2289
Mailing Address - Country:US
Mailing Address - Phone:305-854-8426
Mailing Address - Fax:305-854-8436
Practice Address - Street 1:801 MADRID ST
Practice Address - Street 2:STE 212
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2289
Practice Address - Country:US
Practice Address - Phone:305-854-8426
Practice Address - Fax:305-854-8436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00232161OtherRAILROAD MEDICARE PIN
P00232161OtherRAILROAD MEDICARE PIN