Active NPI
Advanced Air Ambulance, Corp.
- Air Ambulance
- Miami, FL
National Provider Identifier
1801967377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 000421
- Legal business name
- ADVANCED AIR AMBULANCE, CORP.
- Practice address
- 12360 SW 132ND CT
Suite #208
Miami, FL 33186-6464 - Phone
- (305) 232-7700
- Fax
- (305) 232-7734
- NPI assigned
- Nov 13, 2006
- 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. Al Meyreles
- Title
- Vice President
- Phone
- (305) 232-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 000421 | FL | Primary |
Addresses
Primary practice location
12360 SW 132ND CT
Suite #208
Miami, FL 33186-6464
Mailing address
12360 SW 132ND CT
Suite #208
Miami, FL 33186-6464
Phone (305) 232-7700
Other names 1
- ADVANCED AIR AMBULANCE, CORP.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200827000304 | FL | Part B Supplier - Ambulance Service Supplier | 9830089010 | Practice locations: Miami, FL |
National Provider Directory
National Provider DirectoryLocations
12360 SW 132nd Ct
Ste 2
Miami, FL 33186
Phone (800) 633-3590
12360 SW 132nd Ct
Miami, FL 33186
Phone (305) 588-4143
12360 SW 132nd Ct
Ste 208
Miami, FL 33186
Phone (305) 232-7700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801967377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12360 SW 132ND CT",
"address_2": "SUITE #208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866464",
"telephone_number": "305-232-7700",
"fax_number": "305-232-7734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12360 SW 132ND CT",
"address_2": "SUITE #208",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866464",
"telephone_number": "305-232-7700",
"fax_number": "305-232-7734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED AIR AMBULANCE, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEYRELES",
"authorized_official_first_name": "AL",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "305-232-7700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "FL",
"license": "000421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ADVANCED AIR AMBULANCE, CORP.",
"code": "3",
"type": "Doing Business As"
}
]
}
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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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.