Organization Active NPI

Advance Medical Imaging and Interventional Endovascular Therapy

  • Vascular & Interventional Radiology Physician
  • Hialeah, FL
National Provider Identifier
1043635600
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME97951 Issued in FL
Legal business name
ADVANCE MEDICAL IMAGING AND INTERVENTIONAL ENDOVASCULAR THERAPY
Practice address
2387 W 68TH St Ste 503
Hialeah, FL 33016-6890
Phone
(305) 558-0720
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hilario Martinez
Title
President
Phone
(845) 705-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X ME97951 FL Primary

Addresses

Primary practice location

2387 W 68TH St Ste 503
Hialeah, FL 33016-6890

Mailing address

2387 W 68TH St Ste 503
Hialeah, FL 33016-6890

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1043635600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 W 68TH ST STE 503",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330166890",
            "telephone_number": "305-558-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL IMAGING AND INTERVENTIONAL ENDOVASCULAR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HILARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-705-8983"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME97951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.