Healthcare Provider Details

I. General information

NPI: 1992751812
Provider Name (Legal Business Name): ADVANCED IMAGING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W 49TH ST SUITE 716
HIALEAH FL
33012-2942
US

IV. Provider business mailing address

1840 W 49TH ST SUITE 716
HIALEAH FL
33012-2942
US

V. Phone/Fax

Practice location:
  • Phone: 786-639-0940
  • Fax: 305-863-3347
Mailing address:
  • Phone: 786-639-0940
  • Fax: 305-863-3347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME32942
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME59226
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number34275
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number36273
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number59392
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number42483
License Number StateFL

VIII. Authorized Official

Name: MR. ALFREDO PINO
Title or Position: PRESIDENT
Credential:
Phone: 786-639-0940