Organization Active NPI

Advanced Care Mso Inc

  • Case Management Agency
  • Virginia Gardens, FL
National Provider Identifier
1700202264
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADVANCED CARE MSO INC
Practice address
6355 NW 36TH St
Suite 406
Virginia Gardens, FL 33166-7027
Phone
(786) 543-4327
Fax
(305) 874-3905
NPI assigned
Mar 7, 2014
Last updated
Mar 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Pedro Hernandez
Title
Ceo
Phone
(786) 543-4327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

6355 NW 36TH St
Suite 406
Virginia Gardens, FL 33166-7027

Mailing address

6355 NW 36TH St
Suite 406
Virginia Gardens, FL 33166-7027
Phone (786) 543-4327

National Provider Directory

National Provider Directory

Locations

6355 NW 36th St
Ste 406
Virginia Gardens, FL 33166
Phone (786) 543-4327

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1700202264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "SUITE 406",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667027",
            "telephone_number": "786-543-4327",
            "fax_number": "305-874-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "SUITE 406",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667027",
            "telephone_number": "786-543-4327",
            "fax_number": "305-874-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE MSO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-543-4327"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.