Organization Active NPI

Southern Advances Inc

  • Point of Service
  • Miami, FL
National Provider Identifier
1306090105
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
SOUTHERN ADVANCES INC
Practice address
13876 SW 56TH St
Suite 272
Miami, FL 33175-6021
Phone
(305) 879-2369
Fax
(305) 675-8334
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Mr. Ihosvany Matos
Title
President
Phone
(305) 879-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

13876 SW 56TH St
Suite 272
Miami, FL 33175-6021

Mailing address

13876 SW 56TH St
Suite 272
Miami, FL 33175-6021
Phone (305) 879-2369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1306090105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13876 SW 56TH ST",
            "address_2": "SUITE 272",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756021",
            "telephone_number": "305-879-2369",
            "fax_number": "305-675-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13876 SW 56TH ST",
            "address_2": "SUITE 272",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756021",
            "telephone_number": "305-879-2369",
            "fax_number": "305-675-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ADVANCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "IHOSVANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-879-2369",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 6, 2008; 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.