Organization Active NPI

Advance Mdcare Inc

  • Family Medicine Physician
  • Miami Springs, FL
National Provider Identifier
1831640861
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVANCE MDCARE INC
Practice address
294 Westward Dr
Miami Springs, FL 33166-5260
Phone
(877) 632-2732
Fax
(305) 885-8984
NPI assigned
Oct 14, 2016
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Yanet Rodriguez Ferrera
Title
President
Phone
(305) 363-2762

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X ME79915 FL
Health Maintenance Organization 302R00000X ME79915 FL
Point of Service 305S00000X ME79915 FL

Addresses

Primary practice location

294 Westward Dr
Miami Springs, FL 33166-5260

Mailing address

294 Westward Dr
Miami Springs, FL 33166-5260
Phone (877) 632-2732

Other identifiers 2

IdentifierTypeStateIssuer
104171200MedicaidFL
6TH5COtherFLFLORIDA BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190306001949 FL Part B Supplier - Clinic/Group Practice 5890034011 Receives reassigned benefits from 4 practitioners
Practice locations: Miami Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1831640861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665260",
            "telephone_number": "877-632-2732",
            "fax_number": "305-885-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665260",
            "telephone_number": "877-632-2732",
            "fax_number": "305-885-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ FERRERA",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-363-2762"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME79915",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "ME79915",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME79915",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104171200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "6TH5C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.