MEDICARE: ADVANCE IMAGING CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center	HCC7513	FL

General Provider Information

NPI Number	:	1831323971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCE IMAGING CORP

Provider Business Mailing Address
First Line	:	3320 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5241
Country	:	US
Telephone Number	:	305-863-1755
Fax Number	:	305-863-1756

Provider Business Practice Location Address
First Line	:	3320 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5241
Country	:	US
Telephone Number	:	305-863-1755
Fax Number	:	305-863-1756

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROGELIO A CATTAN
Credential	:	MD
Telephone Number	:	305-863-1755

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	09/04/2009

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Directions to “ADVANCE IMAGING CORP ” Practice Location

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