NPIMap

Organization Active NPI

MHB Consultant

  • Community/Behavioral Health Agency
  • Doral, FL
National Provider Identifier
1508213570
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15-01490 Issued in FL
Legal business name
MHB CONSULTANT
Practice address
7855 NW 12TH St # 117
Doral, FL 33126-1826
Phone
(305) 742-2198
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Ileana Lucia Alvarez I
Title
R.B.T
Phone
(786) 346-7605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15-01490 FL Primary

Addresses

Primary practice location

7855 NW 12TH St # 117
Doral, FL 33126-1826

Mailing address

235 W 56TH St
Hialeah, FL 33012-2738

Other identifiers 1

IdentifierTypeStateIssuer
090268MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1508213570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 56TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 NW 12TH ST # 117",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261826",
            "telephone_number": "305-742-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHB CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "R.B.T",
        "authorized_official_telephone_number": "786-346-7605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "15-01490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090268",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.