Compassionate Trauma Care

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMPASSIONATE TRAUMA CARE

Practice address

14411 Commerce Way Ste 350
Miami Lakes, FL 33016-1600

Phone

(305) 530-8119

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Luis Antonio Otero Desantiago III, LMHCNPI 1326605908

Title

President

Phone

(954) 850-1859

Specialties & licenses 1

Addresses

Practitioners 1

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

• Luis Antonio Otero Desantiago III

  • Mental Health Counselor
  • Miami Lakes, FL
  • NPI 1326605908
  NPD Authorized official

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1285195685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 NW 26TH PL",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222827",
            "telephone_number": "954-850-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 COMMERCE WAY STE 350",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330161600",
            "telephone_number": "305-530-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE TRAUMA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "OTERO DESANTIAGO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-850-1859",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Communication Center
• Community Angels Health Care LLC
• Community Care Resources, LC
• Community Health Services, Inc
• Community Health Therapy Center (Community Health Therapy Center Inc)
• Complete Home Care - Private Duty LLC
• Complete Home Care of Miami Lakes LLC
• Complete Medical Management, LLC.
• Complete Pharmacy and Medical Solutions LLC (Complete Pharmacy and Medical Solutions)
• Comprehensive Assessment Center, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.