Provider Demographics
NPI:1205253044
Name:ADVANCE ALL CARE CORP
Entity type:Organization
Organization Name:ADVANCE ALL CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ-HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-732-2192
Mailing Address - Street 1:14869 S DIXIE HWY
Mailing Address - Street 2:BAY 3
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7928
Mailing Address - Country:US
Mailing Address - Phone:786-732-2192
Mailing Address - Fax:786-732-2354
Practice Address - Street 1:14869 S DIXIE HWY
Practice Address - Street 2:BAY 3
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7928
Practice Address - Country:US
Practice Address - Phone:786-732-2192
Practice Address - Fax:786-732-2354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health