Active NPI
Advance Cardiovascular Imaging, Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- HCC5326
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Sunny Isles Beach, FL
- NPI 1447238407
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.