Organization Active NPI

Advance Healthcare Center Corp

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Miami, FL
National Provider Identifier
1699475301
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
ADVANCE HEALTHCARE CENTER CORP
Practice address
14221 SW 120TH St Ste 125
Miami, FL 33186-7463
Phone
(786) 287-5127
Fax
(786) 590-1861
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Ibis Reyes Soto, APRNNPI 1548804164
Title
Ceo
Phone
(786) 287-5127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

14221 SW 120TH St Ste 125
Miami, FL 33186-7463

Mailing address

14480 SW 160TH Ter
Miami, FL 33177-1700
Phone (786) 287-5127

Other names 1

  • Advance Psychiatry & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905003167 FL Part B Supplier - Clinic/Group Practice 8224578299 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

12485 SW 137th Ave
Ste 212
Miami, FL 33186
Phone (305) 482-1452

Practitioners & affiliated clinicians

Practitioners 1

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": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1699475301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14480 SW 160TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771700",
            "telephone_number": "786-287-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 SW 120TH ST STE 125",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867463",
            "telephone_number": "786-287-5127",
            "fax_number": "786-590-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HEALTHCARE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "REYES SOTO",
        "authorized_official_first_name": "IBIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-287-5127",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Psychiatry & Wellness",
            "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 Mar 25, 2026; 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.