Social Diversity LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOCIAL DIVERSITY LLC

Practice address

12001 SW 128TH CT Ste 101
Miami, FL 33186-4665

Phone

(786) 975-7485

NPI assigned

Feb 16, 2020

Organization subpart

No

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

Authorized official

Name

Esel Aguilar, FMD/CBHCMSNPI 1174760458

Title

Owner/Ceo

Phone

(786) 975-7485

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 2

• Suniss Up Doing business as
• Social Diversity LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Social Diversity LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Social Diversity LLC

  • Case Management Agency
  • Miami, FL
  • NPI 1609540681
  NPD tax ID
• Social Diversity LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1821705153
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 3

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

• Natacha M Padrino, MD

  • Psychiatry Physician
  • Miami, FL
  • NPI 1427237528

  Single Specialty

  Medicare reassignment NPD
• Laritza Varona Gonzalez, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1427691674

  Family

  Medicare reassignment NPD
• Esel Aguilar, CBHCMS/FMD/BS

  • Social Worker
  • Miami, FL
  • NPI 1174760458
  NPD (past) Authorized official

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1245863448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NE 19TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330335265",
            "telephone_number": "786-975-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SW 128TH CT STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864665",
            "telephone_number": "786-975-7485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12001 SW 128th Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864665",
            "country_code": "US",
            "telephone_number": "954-860-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCIAL DIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-16",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ESEL",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "786-975-7485",
        "authorized_official_credential": "FMD/CBHCMS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA CERTIFICATION BOARD",
            "identifier": "CBHCMS100118",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suniss Up",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Social Diversity LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Social Diversity LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ana Soche
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• Nisa Sochin, RPH
• Social Consulting LLC
• Social Days Adult Center, LLC
• Social Diversity LLC
• Social Diversity LLC
• Social Integrity Adult Day Care, LLC.
• Social Integrity Home Health Corp
• Social Integrity Mental Health Corp

• Community/Behavioral Health Agency in Miami, FL
• Providers in Miami, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.