Organization Active NPI

Emerald Professional Services Inc

  • Case Manager/Care Coordinator
  • Miami, FL
National Provider Identifier
1144664558
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
MA71425 Issued in FL
Legal business name
EMERALD PROFESSIONAL SERVICES INC
Practice address
5941 NW 173 Dr Suite 6
Miami, FL 33015
Phone
(305) 724-1362
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Anselmo Fraga
Title
Owner
Phone
(305) 724-1362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X MA71425 FL Primary

Addresses

Primary practice location

5941 NW 173 Dr Suite 6
Miami, FL 33015

Mailing address

5941 NW 173 Dr Suite 6
Miami, FL 33015
Phone (305) 724-1362

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1144664558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 NW 173 DR SUITE 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-724-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 NW 173 DR SUITE 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33015",
            "telephone_number": "305-724-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "ANSELMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-724-1362"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "MA71425",
            "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 Apr 29, 2013; 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.