Individual provider Active NPI

Vicente Yanez Sr., SW 4132

  • Clinical Social Worker
  • Coral Gables, FL
National Provider Identifier
1023347291
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 4132 Issued in FL
Practice address
814 Ponce de Leon Blvd
Suite # 418
Coral Gables, FL 33134-3049
Phone
(305) 469-1648
Fax
(305) 442-1018
NPI assigned
Dec 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 4132 FL Primary

Addresses

Primary practice location

814 Ponce de Leon Blvd
Suite # 418
Coral Gables, FL 33134-3049

Mailing address

814 Ponce de Leon Blvd
Suite # 418
Coral Gables, FL 33134-3049
Phone (305) 469-1648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW 4132FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1023347291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD",
            "address_2": "SUITE # 418",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343049",
            "telephone_number": "305-469-1648",
            "fax_number": "305-442-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PONCE DE LEON BLVD",
            "address_2": "SUITE # 418",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343049",
            "telephone_number": "305-469-1648",
            "fax_number": "305-442-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANEZ",
        "first_name": "VICENTE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "SW 4132",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.