Individual provider Active NPI

Virginia Milagros Bouret

  • Case Manager/Care Coordinator
  • Orlando, FL
National Provider Identifier
1467944173
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4444 S Rio Grande Ave Apt 210B
Orlando, FL 32839-1114
Phone
(407) 501-1135
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

4444 S Rio Grande Ave Apt 210B
Orlando, FL 32839-1114

Mailing address

4444 S Rio Grande Ave Apt 210B
Orlando, FL 32839-1114
Phone (407) 501-1135

Other identifiers 1

IdentifierTypeStateIssuer
B63087355680OtherFLDRIVERS LICENSE

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1467944173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 S RIO GRANDE AVE APT 210B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391114",
            "telephone_number": "407-501-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 S RIO GRANDE AVE APT 210B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391114",
            "telephone_number": "407-501-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURET",
        "first_name": "VIRGINIA",
        "middle_name": "MILAGROS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "B63087355680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.