Provider Demographics
NPI:1912219098
Name:PALMETTO OPEN MRI INC
Entity Type:Organization
Organization Name:PALMETTO OPEN MRI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:E
Authorized Official - Last Name:XIQUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-448-6841
Mailing Address - Street 1:3146 CORAL WAY
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-3210
Mailing Address - Country:US
Mailing Address - Phone:305-448-6841
Mailing Address - Fax:305-448-6842
Practice Address - Street 1:3146 CORAL WAY
Practice Address - Street 2:SUITE # 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-3210
Practice Address - Country:US
Practice Address - Phone:305-448-6841
Practice Address - Fax:305-448-6842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)