Azul Community Center

Primary specialty

Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X

Legal business name

AZUL COMMUNITY CENTER

Practice address

10535 SW 124TH Rd
Miami, FL 33186-3649

Phone

(305) 418-0608

Fax

(305) 418-0609

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Cecilia A De la Cruz, LCSW, BCBA

Title

President

Phone

(305) 418-0608

Specialties & licenses 1

Addresses

Other names 1

• Azul Community Center LLC Former legal business name

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1568060242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 SW 124TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863649",
            "telephone_number": "305-418-0608",
            "fax_number": "305-418-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 SW 124TH RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331863649",
            "telephone_number": "305-418-0608",
            "fax_number": "305-418-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUL COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-418-0608",
        "authorized_official_credential": "LCSW, BCBA"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azul Community Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Azucar Adult Day Care
• Natalia Azucena, LCSW
• Azul Pharmacy Corp
• Azul Therapy Services, Inc
• Azul Therapy Services, Inc
• Azul Therapy Services, Inc
• Azul Wellness Center, LLC.

• Clinical Nurse Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.