Organization Name: | SOLUTION DIAGNOSTIC CENTER INC |
NPI Number: | 1891877429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE A LOPEZ (PRESIDENT) |
Mailing Address: | 3970 W Flagler St Suite 204 Coral Gables |
State: | FL US |
Postal Code: | 331341642 |
Phone Number: | 3054486118 |
Fax Number: | 3054486119 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME64856 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |