Advantis Physician Alliance, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANTIS PHYSICIAN ALLIANCE, LLC

Practice address

1405 SW 107TH Ave Ste 217C
Miami, FL 33174-2532

Phone

(305) 898-7065

NPI assigned

May 24, 2016

Last updated

May 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ramon Quirantes

Title

Officer

Phone

(305) 898-7065

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1053769687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144176",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331144176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SW 107TH AVE STE 217C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742532",
            "telephone_number": "305-898-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTIS PHYSICIAN ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "QUIRANTES",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-898-7065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.