Active NPI
Gloria Casquero
- Other Technician
- Hialeah, FL
National Provider Identifier
1407371255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 419 W 49TH St Ste 210
Hialeah, FL 33012-3657 - Phone
- (855) 832-6727
- NPI assigned
- Aug 13, 2017
- Last updated
- Aug 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
419 W 49TH St Ste 210
Hialeah, FL 33012-3657
Mailing address
9027 SW 157TH Path
Miami, FL 33196-1196
Phone (305) 606-0441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021374100 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502582400000",
"number": "1407371255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9027 SW 157TH PATH",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961196",
"telephone_number": "305-606-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W 49TH ST STE 210",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123657",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASQUERO",
"first_name": "GLORIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-13",
"last_updated": "2017-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021374100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.