Provider Demographics
NPI:1154076446
Name:MIAMI CENTER FOR ADVANCED CARDIOLOGY LLC
Entity Type:Organization
Organization Name:MIAMI CENTER FOR ADVANCED CARDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:G
Authorized Official - Last Name:NADER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-978-0834
Mailing Address - Street 1:2845 AVENTURA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3111
Mailing Address - Country:US
Mailing Address - Phone:305-978-0834
Mailing Address - Fax:
Practice Address - Street 1:4308 ALTON RD STE 970
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-4560
Practice Address - Country:US
Practice Address - Phone:305-532-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty