Active NPI
Enrique Bosch
- Social Worker
- Miami, FL
National Provider Identifier
1194220905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CBHCM102164
- Practice address
- 2965 SW 18TH St
Apt 301
Miami, FL 33145-3240 - Phone
- (561) 255-6529
- NPI assigned
- Mar 26, 2018
- Last updated
- Jun 30, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CBHCM102164 | FL | Primary |
Addresses
Primary practice location
2965 SW 18TH St
Apt 301
Miami, FL 33145-3240
Mailing address
2965 SW 18TH St
Apt 301
Miami, FL 33145-3240
Phone (561) 255-6529
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 |
|---|---|---|---|
| CBHCM102164 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1194220905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 SW 18TH ST",
"address_2": "APT 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453240",
"telephone_number": "561-255-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 SW 18TH ST",
"address_2": "APT 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331453240",
"telephone_number": "561-255-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSCH",
"first_name": "ENRIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "CBHCM102164",
"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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.