Individual provider Active NPI

Sandra Velazquez Silva

  • Case Manager/Care Coordinator
  • Hialeah, FL
National Provider Identifier
1225620693
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCM103167 Issued in FL
Practice address
7379 NW 173Rd Dr Apt 103
Hialeah, FL 33015-8429
Phone
(786) 879-0355
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCM103167 FL Primary

Addresses

Primary practice location

7379 NW 173Rd Dr Apt 103
Hialeah, FL 33015-8429

Mailing address

1000 NW 127TH PL
Miami, FL 33182-1838
Phone (786) 879-0355

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CBHCM103167FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Blossom Aid Community Services LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

3939 NW 7th St
Ste 208
Miami, FL 33126

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1225620693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 127TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821838",
            "telephone_number": "786-879-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7379 NW 173RD DR APT 103",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158429",
            "telephone_number": "786-879-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ SILVA",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM103167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.