Provider Demographics
NPI:1760509962
Name:RESPIRATORY & DIAGNOSTIC CENTER OF FLORIDA CORP
Entity Type:Organization
Organization Name:RESPIRATORY & DIAGNOSTIC CENTER OF FLORIDA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-512-7900
Mailing Address - Street 1:1152 W 68TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-5153
Mailing Address - Country:US
Mailing Address - Phone:305-512-7900
Mailing Address - Fax:305-364-0420
Practice Address - Street 1:1152 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-5153
Practice Address - Country:US
Practice Address - Phone:305-512-7900
Practice Address - Fax:305-364-0420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic