Healthcare Provider Details

I. General information

NPI: 1235049263
Provider Name (Legal Business Name): ADL INSTITUTE FOR MEDICAL RESEARCH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 TAMIAMI CANAL RD
MIAMI FL
33144-2538
US

IV. Provider business mailing address

31 TAMIAMI CANAL RD
MIAMI FL
33144-2538
US

V. Phone/Fax

Practice location:
  • Phone: 786-352-0299
  • Fax:
Mailing address:
  • Phone: 786-352-0299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YAIBISLEIVYS CRUZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 786-352-0299