Organization Active NPI

Advanced Vascular Cardiac & Veins, PLLC

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1164060497
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
ADVANCED VASCULAR CARDIAC & VEINS, PLLC
Practice address
7480 Bird Rd Ste 560
Miami, FL 33155-6657
Phone
(305) 450-1239
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Enrique Hernandez, MD
Title
Owner, Authorized Official
Phone
(917) 684-9225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X

Addresses

Primary practice location

7480 Bird Rd Ste 560
Miami, FL 33155-6657

Mailing address

7480 Bird Rd Ste 560
Miami, FL 33155-6657
Phone (305) 707-5688

Other practice location 1

4160 W 16th Ave Ste 203
Hialeah, FL 33012-5853
Phone (305) 707-5688

Other practice location 2

7725 NW 48th St Ste 100
Doral, FL 33166-5478
Phone (305) 707-5688

Other names 1

  • Advanced Vascular Cardiac & Veins Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200212000651 FL Part B Supplier - Clinic/Group Practice 9335575257 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Hialeah, FL; Doral, FL; Delray Beach, FL; Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

4160 W 16th Ave
Ste 209
Hialeah, FL 33012

4160 W 16th Ave
Ste 203
Hialeah, FL 33012
Phone (305) 826-9565

2601 SW 37th Ave
Ste 704
Miami, FL 33133
Phone (305) 448-8455

7480 Bird Rd
Ste 560
Miami, FL 33155
Phone (305) 450-1239

Networks

  • HealthSun Health Plans Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20828/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1164060497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 BIRD RD STE 560",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556657",
            "telephone_number": "305-707-5688",
            "fax_number": "305-760-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 BIRD RD STE 560",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556657",
            "telephone_number": "305-450-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 W 16th Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330125853",
            "country_code": "US",
            "telephone_number": "305-707-5688",
            "fax_number": "305-760-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7725 NW 48th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331665478",
            "country_code": "US",
            "telephone_number": "305-707-5688",
            "fax_number": "305-760-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED VASCULAR CARDIAC & VEINS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "917-684-9225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vascular Cardiac & Veins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Vascular Cardiac & Veins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.