NPIMap

Organization Active NPI

Advance Quality Medical Center Inc

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1710066717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
HCC7271 Issued in FL
Legal business name
ADVANCE QUALITY MEDICAL CENTER INC
Practice address
1890 S Red Rd
104
Miami, FL 33155-2164
Phone
(305) 264-8955
Fax
(305) 264-8948
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Junior Gonzalez
Title
President/Owner
Phone
(305) 264-8955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HCC7271 FL Primary

Addresses

Primary practice location

1890 S Red Rd
104
Miami, FL 33155-2164

Mailing address

1890 S Red Rd
104
Miami, FL 33155-2164
Phone (305) 264-8955

Other identifiers 1

IdentifierTypeStateIssuer
HCC7271OtherFLAHCA LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710066717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S RED RD",
            "address_2": "104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "305-264-8955",
            "fax_number": "305-264-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S RED RD",
            "address_2": "104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552164",
            "telephone_number": "305-264-8955",
            "fax_number": "305-264-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE QUALITY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JUNIOR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "305-264-8955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC7271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "HCC7271",
            "state": "FL"
        }
    ],
    "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 Aug 22, 2020; 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.