ADVANCE MDCARE COMMUNITY CLINIC INC
NPI 1902655814
Clinic/Center - Community Health in Miami Springs, FL

Active since May 14, 2024CLIA 10D2284091 · Waiver
290 WESTWARD DR, MIAMI SPRINGS, FL 33166(305) 363-2762(305) 885-8985 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advance Mdcare Community Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE MDCARE COMMUNITY CLINIC INC (NPI 1902655814) is a healthcare organization registered as a community health in Miami Springs, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Yanet Rodriguez Ferrera, President, as its authorized official.

NPPES Registry Identity

NPI1902655814
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameADVANCE MDCARE COMMUNITY CLINIC INC
Location Address290 WESTWARD DRMiami Springs, FL 33166-5260
Mailing Address290 Westward DrMiami Springs, FL 33166-5260 · (305) 363-2762 · Fax (305) 885-8985
Fax(305) 885-8985
Organization SubpartNo
Authorized OfficialYanet Rodriguez FerreraPresident · (305) 363-2762
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1902655814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
290 WESTWARD DR, Miami Springs, FL 33166

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Mdcare Community Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advance Mdcare Community Clinic Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1386757102
1901 NW 7TH ST
Miami, FL 33125
(305) 587-2414
✔ PECOS✔ Accepts Medicare4.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2284091

Advance MD Care Community Clinic Inc · Miami Springs, FL
Active · expires Jun 15, 2027
CLIA Number10D2284091
Laboratory TypeHealthcare Center
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorAntonio E. Terrelonge
Laboratory Phone(305) 491-2003
Laboratory LocationAdvance MD Care Community Clinic Inc290 Westward Drive, Miami Springs, FL 33166
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Mdcare Community Clinic Inc's NPI number?

The NPI number for Advance Mdcare Community Clinic Inc is 1902655814. It was assigned to this organization in the NPPES registry on May 14, 2024.

Where is Advance Mdcare Community Clinic Inc located?

Advance Mdcare Community Clinic Inc is located at 290 Westward Dr, Miami Springs, FL 33166. The listed phone number is (305) 363-2762.

What is Advance Mdcare Community Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Is Advance Mdcare Community Clinic Inc enrolled in Medicare?

Yes. Advance Mdcare Community Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Mdcare Community Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Advance Mdcare Community Clinic Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advance Mdcare Community Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2284091) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advance Mdcare Community Clinic Inc was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.