OrganizationActive
Advance Healthcare Center Corp
NPI 1699475301 · Psychiatric/Mental Health Clinical Nurse Specialist · Miami, FL
Provider details
- NPI number
- 1699475301
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Ibis Reyes Soto, Ceo
Practice location
14221 Sw 120th St Ste 125
Miami, FL 33186-7463
Phone: (786) 287-5127
Fax: (786) 590-1861
Mailing address
14480 Sw 160th Ter
Miami, FL 33177-1700
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.