Provider Demographics
NPI:1932159969
Name:SARA RADIOLOGY
Entity Type:Organization
Organization Name:SARA RADIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:RIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-585-7020
Mailing Address - Street 1:PO BOX 496515
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33949-6515
Mailing Address - Country:US
Mailing Address - Phone:727-585-7020
Mailing Address - Fax:727-450-1144
Practice Address - Street 1:1500 LEE BLVD
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-4835
Practice Address - Country:US
Practice Address - Phone:727-585-7020
Practice Address - Fax:727-450-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7959AMedicare ID - Type Unspecified