Jeily Mederos, CBHCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

717 Ponce de Leon Blvd Ste 324
Coral Gables, FL 33134-2050

Phone

(786) 343-6493

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• E & E Service Group Inc

  • Case Management Agency
  • Miami, FL
  • NPI 1184233124

  Single Specialty

  NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1366010548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5099 NW 7TH ST APT 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD STE 324",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342050",
            "telephone_number": "786-343-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEROS",
        "first_name": "JEILY",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Spa & Rehabilitation Center
• Med Spa & Rehabilitation Center Corp
• Med-Spa Soltion Inc
• Daniela Medellin
• Isabel Mederos
• Medex House.LLC
• Medgroup Medical Center
• Medgroup Medical Center LLC
• Medi Partners of So Florida LLC (Medi-Station Urgent Care)
• Medica Health Plans of Florida, Inc.

• Case Manager/Care Coordinator in Coral Gables, FL
• Providers in Coral Gables, 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 Jun 15, 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.