Provider Demographics
NPI:1326218207
Name:RP MEDICAL SONOGRAPHY CORP
Entity Type:Organization
Organization Name:RP MEDICAL SONOGRAPHY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODOLFO
Authorized Official - Middle Name:M
Authorized Official - Last Name:PURON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-267-2195
Mailing Address - Street 1:17663 SW 134TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-1103
Mailing Address - Country:US
Mailing Address - Phone:786-267-2195
Mailing Address - Fax:
Practice Address - Street 1:17663 SW 134TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-1103
Practice Address - Country:US
Practice Address - Phone:786-267-2195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile