Provider Demographics
NPI:1598987216
Name:MOBILE X PRESS RAY INC
Entity Type:Organization
Organization Name:MOBILE X PRESS RAY INC
Other - Org Name:X-PRESS MEDICAL & RESEARCH CENTER INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:P
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TRUJILLO
Authorized Official - Suffix:
Authorized Official - Credentials:REGLA D TRUJILLO
Authorized Official - Phone:305-457-7784
Mailing Address - Street 1:9995 SW 72ND ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-4662
Mailing Address - Country:US
Mailing Address - Phone:305-457-7784
Mailing Address - Fax:305-280-4129
Practice Address - Street 1:9995 SW 72ND ST STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4662
Practice Address - Country:US
Practice Address - Phone:786-457-7784
Practice Address - Fax:305-280-4129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 9124208D00000X
FLMM30779261QP2000X
FLJR4260900261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, MobileGroup - Single Specialty