OrganizationVivax-Ray Medical Diagnostic Center, IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address3750 W 16th Ave Ste 204, Hialeah, FL 33012-4648(305) 825-1418PECOS EnrollmentBased on the most recent information from CMS, provider Vivax-Ray Medical Diagnostic Center, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821259169Provider TypeOrganizationFull NameVivax-Ray Medical Diagnostic Center, IncSubpartNoEnumeration Date6/19/2008Last Updated4/21/2025Contact InformationPractice LocationPractice Address3750 W 16th Ave Ste 204, Hialeah, FL 33012-4648Phone(305) 825-1418Fax(305) 825-1419Mailing LocationMailing Address3750 W 16th Ave, Ste 136u, Hialeah, FL 33012-4654Phone(305) 825-1418Fax(305) 825-1419Authorized OfficialNameVivas, Osmin (President)Phone(305) 825-1418Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC7919Florida