OrganizationActive
In His Image Medical, Inc
NPI 1316186943 · Mobile Radiology Clinic/Center · Miami, FL
Provider details
- NPI number
- 1316186943
- Entity type
- Organization
- Primary specialty
- Mobile Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Bonilla, Owner/President(305) 345-2055
- License
- 00069740 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13550 Sw 88th St Ste 180
Miami, FL 33186-1513
Phone: (305) 381-2868
Street-level locationGet directions
Mailing address
16510 Sw 96th Ter
Miami, FL 33196-5832
Additional practice locations (1)
- 13550 N Kendall DrSuite 180Miami, FL 33186-1654Phone: (305) 385-9919Fax: (786) 472-4520
Registry dates
- Enumerated
- 2009-02-04
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.