Active NPI
Diego Marmolejo Sr.
- Case Manager/Care Coordinator
- Kissimmee, FL
National Provider Identifier
1437892148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3222 Whooping Crane Run
Kissimmee, FL 34741-7539 - Phone
- (689) 200-6923
- NPI assigned
- Apr 19, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3222 Whooping Crane Run
Kissimmee, FL 34741-7539
Mailing address
3222 Whooping Crane Run
Kissimmee, FL 34741-7539
Phone (689) 200-6923
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": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1437892148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 WHOOPING CRANE RUN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417539",
"telephone_number": "689-200-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3222 WHOOPING CRANE RUN",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417539",
"telephone_number": "689-200-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMOLEJO",
"first_name": "DIEGO",
"name_prefix": "Miss",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Christine Marino, DPT
- Mario F Moquete MD LLC
- Mark Dreyer, D.M.D. P.a.
- Marmar Home Health Care Nursing Rehabilitaion and Respiratory Services
- Marmar Home Healthcare Nursing Rehabilitation and Respiratory Services
- Esmelda Karina Marmolejos Bueno, BEHAVIOR TECHNICIAN
- Victor Arturo Marmolejos Polanco, M.D.
- Justin Paul Marotta, OTR/L, MOT
- Noelia Marquez Feliciano
- Astrid Allyson Marquez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.