Provider Demographics
NPI:1770614505
Name:ULTRASONIC SYSTEMS OF MIAMI, INC.
Entity type:Organization
Organization Name:ULTRASONIC SYSTEMS OF MIAMI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-825-4700
Mailing Address - Street 1:PO BOX 441027
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-1027
Mailing Address - Country:US
Mailing Address - Phone:305-825-4700
Mailing Address - Fax:
Practice Address - Street 1:390 W 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3764
Practice Address - Country:US
Practice Address - Phone:305-825-4700
Practice Address - Fax:305-825-4221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2085R0204X
FLHCC66322085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
Not Answered2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLV0809OtherBCBS IDENTIFICATION NUMBE
FL=========OtherTAX ID