MEDICARE: ADVANCED IMAGING SERVICES INC

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	2471S1302X	Sonography Radiologic Technologist	34275	FL
2	2471V0105X	Vascular Sonography Radiologic Technologist	59392	FL
3	2471S1302X	Sonography Radiologic Technologist	36273	FL
4	2471V0105X	Vascular Sonography Radiologic Technologist	42483	FL
5	2085R0202X	Diagnostic Radiology Physician	ME59226	FL
6	207RC0000X	Cardiovascular Disease Physician	ME32942	FL

General Provider Information

NPI Number	:	1992751812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED IMAGING SERVICES INC

Provider Business Mailing Address
First Line	:	1840 W 49TH ST
Second Line	:	SUITE 716
City	:	HIALEAH
State	:	FL
Zip	:	33012-2942
Country	:	US
Telephone Number	:	786-639-0940
Fax Number	:	305-863-3347

Provider Business Practice Location Address
First Line	:	1840 W 49TH ST
Second Line	:	SUITE 716
City	:	HIALEAH
State	:	FL
Zip	:	33012-2942
Country	:	US
Telephone Number	:	786-639-0940
Fax Number	:	305-863-3347

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALFREDO PINO
Credential	:
Telephone Number	:	786-639-0940

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/11/2025

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