Advanced Theragroup of Miami, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

6202 Issued in FL

Legal business name

ADVANCED THERAGROUP OF MIAMI, INC.

Practice address

3900 NW 79TH Ave
Suite 815
Doral, FL 33166-6556

Phone

(305) 593-6880

NPI assigned

Jul 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Miralles

Title

President

Phone

(305) 593-6880

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Max Moreno, M.D

  • Legal Medicine
  • Miami, FL
  • NPI 1710178124
  NPD (past)
• Ramon Antonio Pichardo, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1982639290
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962436659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 815",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 815",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-593-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAGROUP OF MIAMI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRALLES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-593-6880"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "6202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance ABA Therapy Corp
• Advance Therapy of Miami, Inc
• Advanced Behavioral Association, LLC
• Advanced Medical of Doral
• Advanced Radiologist Images, Inc (Aris Mobile X-Ray)
• Advanced Therapeutic Choice CMHC Inc
• Advanced Therapy and Rehabilitation Center, Inc.
• Advocate2Create, LLC
• Areege Afaneh, O.D.
• Agape Community Mental Health Center, Inc.

• Health Service Clinic/Center in Doral, FL
• Providers in Doral, FL by specialty
• Health Service Clinic/Center in Florida

• 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.