Provider Demographics
NPI:1710924527
Name:ELI & BEYSI DIAGNOSTIC CENTER, INC.
Entity Type:Organization
Organization Name:ELI & BEYSI DIAGNOSTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-775-9971
Mailing Address - Street 1:7203 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4653
Mailing Address - Country:US
Mailing Address - Phone:305-265-1040
Mailing Address - Fax:305-265-1046
Practice Address - Street 1:7203 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4653
Practice Address - Country:US
Practice Address - Phone:305-265-1040
Practice Address - Fax:305-265-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5187261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service