Active NPI
Campo Valdes Algos, Inc.
- Case Management Agency
- Ft Lauderdale, FL
National Provider Identifier
1104634575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CAMPO VALDES ALGOS, INC.
- Practice address
- 1515 E Broward Blvd Apt 112
Ft Lauderdale, FL 33301-2139 - Phone
- (305) 467-0859
- NPI assigned
- Dec 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan David Blandon, PHD
- Title
- President
- Phone
- (305) 467-0859
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1515 E Broward Blvd Apt 112
Ft Lauderdale, FL 33301-2139
Mailing address
1515 E Broward Blvd Apt 112
Ft Lauderdale, FL 33301-2139
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734480000000",
"number": "1104634575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E BROWARD BLVD APT 112",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333012139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E BROWARD BLVD APT 112",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333012139",
"telephone_number": "305-467-0859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMPO VALDES ALGOS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-18",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A",
"authorized_official_last_name": "BLANDON",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-467-0859",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.