Active NPI
Luis Merino
- Case Manager/Care Coordinator
- North Miami, FL
National Provider Identifier
1154897510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCMS101006
- Practice address
- 1400 NE 125TH St
North Miami, FL 33161-6034 - Phone
- (305) 915-8900
- Fax
- (305) 392-1391
- NPI assigned
- Oct 23, 2018
- Sex
- Male
- 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 | CBHCMS101006 | FL | Primary |
Addresses
Primary practice location
1400 NE 125TH St
North Miami, FL 33161-6034
Mailing address
16686 NW 21St St Apt 11-303
Pembroke Pines, FL 33028-1884
Phone (305) 917-5919
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 |
|---|---|---|---|
| CBHCMS101006 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1154897510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16686 NW 21ST ST APT 11-303",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281884",
"telephone_number": "305-917-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 NE 125TH ST",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331616034",
"telephone_number": "305-915-8900",
"fax_number": "305-392-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERINO",
"first_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-23",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCMS101006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.