Organization Active NPI

Youth Education & Support Inc.

  • Specialist
  • Miami, FL
National Provider Identifier
1619399037
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
YOUTH EDUCATION & SUPPORT INC.
Practice address
13615 S Dixie Hwy
#109-322
Miami, FL 33176-7254
Phone
(305) 283-7039
Fax
(305) 234-7592
NPI assigned
Jan 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Mrs. Rosario C. Landa, M.S.
Title
Owner/Director
Phone
(305) 283-7039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

13615 S Dixie Hwy
#109-322
Miami, FL 33176-7254

Mailing address

13615 S Dixie Hwy
#109-322
Miami, FL 33176-7254
Phone (305) 283-7039

Other identifiers 1

IdentifierTypeStateIssuer
812314400MedicaidFL

National Provider Directory

National Provider Directory

Locations

13615 S Dixie Hwy
Miami, FL 33176
Phone (305) 283-7039

NPI Registry JSON

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1619399037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 S DIXIE HWY",
            "address_2": "#109-322",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767254",
            "telephone_number": "305-283-7039",
            "fax_number": "305-234-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 S DIXIE HWY",
            "address_2": "#109-322",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767254",
            "telephone_number": "305-283-7039",
            "fax_number": "305-234-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH EDUCATION & SUPPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "305-283-7039",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812314400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.