Organization Active NPI

Advance Cardiovascular Imaging, Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Miami, FL
National Provider Identifier
1376705913
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
HCC5326 Issued in FL
Legal business name
ADVANCE CARDIOVASCULAR IMAGING, INC
Practice address
10260 SW 56TH St
Suite 102
Miami, FL 33165-7021
Phone
(305) 270-7855
Fax
(305) 270-7857
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Mr. Alejandro De Villiers, RDCS RVT CNMT
Title
President
Phone
(786) 287-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X HCC5326 FL Primary

Addresses

Primary practice location

10260 SW 56TH St
Suite 102
Miami, FL 33165-7021

Mailing address

10260 SW 56TH St
Suite 102
Miami, FL 33165-7021
Phone (305) 270-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376705913. Details of each certification follow.

Portable X-ray supplier certification: CCN 10X0009957

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ADVANCE CARDIOVASCULAR IMAGING, INC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Jun 6, 2006
Last certification
Jan 22, 2026
Ownership / control type
Corporation
Facility address
10260 SW 56TH St Suite 102
Miami, FL 33165

National Provider Directory

National Provider Directory

Locations

10000 SW 56th St
Ste 4
Miami, FL 33165
Phone (305) 225-2101

11401 SW 40th St
Ste 328
Miami, FL 33165
Phone (305) 225-2101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1376705913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 SW 56TH ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657021",
            "telephone_number": "305-270-7855",
            "fax_number": "305-270-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW 56TH ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657021",
            "telephone_number": "305-270-7855",
            "fax_number": "305-270-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CARDIOVASCULAR IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "DE VILLIERS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-287-2236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RDCS RVT CNMT"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "FL",
            "license": "HCC5326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.