Active NPI
Alexis Ruiz Linares, CBHCM
- Case Manager/Care Coordinator
- Florida City, FL
National Provider Identifier
1558083337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCM.0104285
- Practice address
- 640 W Palm Dr Ste D
Florida City, FL 33034-3237 - Phone
- (786) 601-7757
- Fax
- (786) 601-7758
- NPI assigned
- Sep 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | CBHCM.0104285 | FL | Primary |
Addresses
Primary practice location
640 W Palm Dr Ste D
Florida City, FL 33034-3237
Mailing address
10907 SW 88TH St Apt 423
Miami, FL 33176-1276
Phone (512) 770-5606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBHCM.0104285 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM.0104285 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Advance Corp | Current | Accepting new patients |
Locations
640 W Palm Dr
Ste D
Homestead, FL 33034
Phone (786) 410-8922
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Florida City, FL
- NPI 1093272296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1558083337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10907 SW 88TH ST APT 423",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761276",
"telephone_number": "512-770-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 W PALM DR STE D",
"city": "FLORIDA CITY",
"state": "FL",
"postal_code": "330343237",
"telephone_number": "786-601-7757",
"fax_number": "786-601-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ LINARES",
"first_name": "ALEXIS",
"credential": "CBHCM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM.0104285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CBHCM.0104285",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florida City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.