Provider Demographics
NPI:1376908079
Name:D & B X-RAY DIAGNOSTIC CENTER, INC.
Entity Type:Organization
Organization Name:D & B X-RAY DIAGNOSTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:305-299-7865
Mailing Address - Street 1:8260 W FLAGLER ST
Mailing Address - Street 2:SUITE 1J
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:305-226-5470
Mailing Address - Fax:305-223-9886
Practice Address - Street 1:9920 SW 20TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7502
Practice Address - Country:US
Practice Address - Phone:305-299-7865
Practice Address - Fax:305-223-9886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology