Active NPI
Marilyn Guadarrama, CBHCM.0105150
- Case Manager/Care Coordinator
- Miami, FL
National Provider Identifier
1073325957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCM.0105150
- Practice address
- 4215 SW 72ND Ave
Miami, FL 33155-4510 - Phone
- (305) 377-3297
- Fax
- (305) 377-3854
- NPI assigned
- Jan 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CBHCM.0105150 | FL | Primary |
Addresses
Primary practice location
4215 SW 72ND Ave
Miami, FL 33155-4510
Mailing address
11480 Whistlers Cove Cir Apt 721
Naples, FL 34113-7892
Phone (561) 969-8769
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
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM.0105150 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syx, Corp. | Current | Accepting new patients |
Locations
4215 SW 72nd Ave
Miami, FL 33155
Phone (305) 377-3297
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1447599477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1073325957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11480 WHISTLERS COVE CIR APT 721",
"city": "NAPLES",
"state": "FL",
"postal_code": "341137892",
"telephone_number": "561-969-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 SW 72ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554510",
"telephone_number": "305-377-3297",
"fax_number": "305-377-3854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUADARRAMA",
"first_name": "MARILYN",
"credential": "CBHCM.0105150",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM.0105150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.