Provider Demographics
NPI:1891893822
Name:D & O CARDIOVASCULAR DIAGNOSTIC
Entity Type:Organization
Organization Name:D & O CARDIOVASCULAR DIAGNOSTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:JORGE
Authorized Official - Last Name:JANE
Authorized Official - Suffix:
Authorized Official - Credentials:RDMS RCS RVS CCT
Authorized Official - Phone:305-588-9853
Mailing Address - Street 1:PO BOX 650852
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33265-0852
Mailing Address - Country:US
Mailing Address - Phone:305-554-9061
Mailing Address - Fax:305-554-9038
Practice Address - Street 1:10240 SW 56 ST SUITE 112D
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:305-554-9061
Practice Address - Fax:305-554-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00012232246W00000X, 246X00000X
FL811282471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Multi-Specialty
Not Answered246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Multi-Specialty
Not Answered2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty