Organization Active NPI

Clinical Trail Services Corp

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1154901254
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLINICAL TRAIL SERVICES CORP
Practice address
8360 W Flagler St Ste 100
Miami, FL 33144-2042
Phone
(786) 203-6924
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Yuneisy Baracaldo
Title
Owner
Phone
(786) 203-6924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8360 W Flagler St Ste 100
Miami, FL 33144-2042

Mailing address

8360 W Flagler St Ste 100
Miami, FL 33144-2042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1154901254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 W FLAGLER ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 W FLAGLER ST STE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442042",
            "telephone_number": "786-203-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL TRAIL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "BARACALDO",
        "authorized_official_first_name": "YUNEISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-203-6924"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 14, 2021; 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.