Provider Demographics
NPI:1104165836
Name:ADVANCE CARE HOSPITALIST GROUP INC
Entity type:Organization
Organization Name:ADVANCE CARE HOSPITALIST GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:ADELQUIS
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:305-380-0940
Mailing Address - Street 1:13500 N KENDALL DR STE 271
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1582
Mailing Address - Country:US
Mailing Address - Phone:305-380-0940
Mailing Address - Fax:305-380-0992
Practice Address - Street 1:13500 N KENDALL DR STE 271
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1582
Practice Address - Country:US
Practice Address - Phone:305-380-0940
Practice Address - Fax:305-380-0992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9206260282N00000X
FLME86988282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital