Provider Demographics
NPI:1780871004
Name:GALINDO, JUAN C (TECHNOLOGIST)
Entity type:Individual
Prefix:PROF
First Name:JUAN
Middle Name:C
Last Name:GALINDO
Suffix:
Gender:M
Credentials:TECHNOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12080 SW 250TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-5967
Mailing Address - Country:US
Mailing Address - Phone:786-246-4742
Mailing Address - Fax:305-644-1795
Practice Address - Street 1:3271 NW 7TH ST STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-4141
Practice Address - Country:US
Practice Address - Phone:305-644-1236
Practice Address - Fax:305-644-1795
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL54033246XC2903X, 2471S1302X
FL494246Z00000X
FLBMO52916247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist