Active NPI
Wilfredo Morales Gonzalez
- Case Manager/Care Coordinator
- Miami Shores, FL
National Provider Identifier
1376067108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9999 NE 2ND Ave Ste 203
Miami Shores, FL 33138-2345 - Phone
- (786) 580-5131
- Fax
- (786) 580-5149
- NPI assigned
- Aug 2, 2017
- Last updated
- Jun 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
9999 NE 2ND Ave Ste 203
Miami Shores, FL 33138-2345
Mailing address
9999 NE 2ND Ave Ste 203
Miami Shores, FL 33138-2345
Phone (786) 580-5131
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Dimensions Inc | Current | Accepting new patients | |
| Care Dimensions Inc | Current | Accepting new patients | |
| Heartwell Home Health Care Corp. | Past | Accepting new patients | |
| Heartwell Home Health Care Corp. | Behavior Analyst | Past | Accepting new patients |
Locations
9999 NE 2nd Ave
Ste 203
Miami Shores, FL 33138
Phone (305) 591-7898
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Miami Shores, FL
- NPI 1023783511
-
- Case Management Agency
- Miami Shores, FL
- NPI 1740748615
-
- Home Health Agency
- Doral, FL
- NPI 1669636684
-
- Behavior Analyst
- Doral, FL
- NPI 1972272979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1376067108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9999 NE 2ND AVE STE 203",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382345",
"telephone_number": "786-580-5131",
"fax_number": "786-580-5149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9999 NE 2ND AVE STE 203",
"city": "MIAMI SHORES",
"state": "FL",
"postal_code": "331382345",
"telephone_number": "786-580-5131",
"fax_number": "786-580-5149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES GONZALEZ",
"first_name": "WILFREDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-02",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.