Active NPI
Transition Developmental Services, Inc
- Developmentally Disabled Services Day Training Agency
- Miami, FL
National Provider Identifier
1487933164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- TRANSITION DEVELOPMENTAL SERVICES, INC
- Practice address
- 9403 Fontainebleau Blvd
104
Miami, FL 33172-5690 - Phone
- (786) 597-3928
- NPI assigned
- Aug 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saimary Rivero
- Title
- President
- Phone
- (786) 597-3928
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
9403 Fontainebleau Blvd
104
Miami, FL 33172-5690
Mailing address
9403 Fontainebleau Blvd
104
Miami, FL 33172-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003061200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1487933164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 FONTAINEBLEAU BLVD",
"address_2": "104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331725690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 FONTAINEBLEAU BLVD",
"address_2": "104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331725690",
"telephone_number": "786-597-3928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSITION DEVELOPMENTAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-11",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "RIVERO",
"authorized_official_first_name": "SAIMARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-597-3928"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003061200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.