Individual provider Active NPI

Mayelin Romanes Diaz, TCM

  • Case Manager/Care Coordinator
  • Sunrise, FL
National Provider Identifier
1558130948
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
0103947 Issued in FL
Practice address
9100 NW 24TH St
Sunrise, FL 33322-3228
Phone
(954) 630-5680
NPI assigned
Dec 27, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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 0103947 FL Primary

Addresses

Primary practice location

9100 NW 24TH St
Sunrise, FL 33322-3228

Mailing address

9100 NW 24TH St
Sunrise, FL 33322-3228
Phone (954) 630-5680

Other names 1

  • Mayelin Romanes Diaz Former name

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
0103947FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1558130948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 NW 24TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223228",
            "telephone_number": "954-630-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 NW 24TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223228",
            "telephone_number": "954-630-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANES DIAZ",
        "first_name": "MAYELIN",
        "credential": "TCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "0103947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYELIN",
            "last_name": "ROMANES DIAZ",
            "credential": "CBHCM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.