Provider Demographics
NPI:1174032148
Name:NEW AMERICA DIAGNOSITCS CENTER INC
Entity Type:Organization
Organization Name:NEW AMERICA DIAGNOSITCS CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-260-5111
Mailing Address - Street 1:2470 SW 137TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6330
Mailing Address - Country:US
Mailing Address - Phone:786-260-5111
Mailing Address - Fax:
Practice Address - Street 1:2470 SW 137TH AVENU
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:786-260-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty