# ADVANCE CARDIOVASCULAR IMAGING, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376705913
- **Authorized official:** MR. ALEJANDRO DE VILLIERS RDCS RVT CNMT (PRESIDENT)
- **Authorized official phone:** (786) 287-2236

## Contact information

- **Practice address:** 10260 SW 56TH ST, SUITE 102, MIAMI, FL 33165-7021
- **Practice address phone:** (305) 270-7855
- **Practice address fax:** (305) 270-7857
- **Mailing address:** 10260 SW 56TH ST, SUITE 102, MIAMI, FL 33165-7021
- **Mailing address phone:** (305) 270-7855
- **Mailing address fax:** (305) 270-7857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | HCC5326 | FL | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 02/28/2014