Advance Mdcare Community Clinic Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ADVANCE MDCARE COMMUNITY CLINIC INC

Practice address

290 Westward Dr
Miami Springs, FL 33166-5260

Phone

(305) 363-2762

Fax

(305) 885-8985

NPI assigned

May 14, 2024

Organization subpart

No

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 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonio E Terrelonge, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1386757102
  Medicare reassignment

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1902655814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665260",
            "telephone_number": "305-363-2762",
            "fax_number": "305-885-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 WESTWARD DR",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665260",
            "telephone_number": "305-363-2762",
            "fax_number": "305-885-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MDCARE COMMUNITY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "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": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Layre Aday
• Adr Services Group Inc
• Advance Mdcare Inc
• Advocate Health Services , Inc
• Vanessa Aguiar
• Esaie Aime, PT
• Airport Pharmacy Corp

• Community Health Clinic/Center in Miami Springs, FL
• Providers in Miami Springs, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.