Individual provider Active NPI

Alexis Ruiz Linares, CBHCM

  • Case Manager/Care Coordinator
  • Florida City, FL
National Provider Identifier
1558083337
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCM.0104285 Issued in FL
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

Updated by the provider on Sep 20, 2022

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 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

IdentifierTypeStateIssuer
CBHCM.0104285MedicaidFL

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

LicenseStateTypeSpecialty
CBHCM.0104285FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Social Advance Corp CurrentSince Sep 25, 2022 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.

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.

Verify at the official NPI Registry.