Consuelo R Escalona Fonseca

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCBMDS101045 Issued in FL

Practice address

5190 NW 167TH St Ste 309
Miami Lakes, FL 33014-6338

Phone

(929) 330-5902

NPI assigned

Feb 10, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Liveliness Services Inc

  • Community/Behavioral Health Agency
  • Miami Lakes, FL
  • NPI 1215583372
  NPD Authorized official

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1245822212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 309",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "929-330-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 309",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146338",
            "telephone_number": "929-330-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCALONA FONSECA",
        "first_name": "CONSUELO",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCBMDS101045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "endpointDescription": "Private",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Miami",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5190 NW 167th St Ste 309",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330146338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Entrust Medical Group Inc
• Ep Physician Services, Inc.
• Ingrid E Epelman Dorra, D.D.S
• Equality Mental Center Inc
• Robert Eremian
• Leyani Escalona Marrero
• Esmeralda Medical Center Corp
• Eliezer Espaillet
• Madeline Espana, LMHC
• Camila Andrea Espinosa

• Case Manager/Care Coordinator in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.