Individual provider Active NPI

Isbelys Coromoto Arenas Bravo

  • Social Worker
  • Miami, FL
National Provider Identifier
1619574613
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CBHCMS.0102636 Issued in FL
Practice address
14680 SW 8TH St Ste 209
Miami, FL 33184-3138
Phone
(786) 585-5567
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL
Social Worker 104100000X CBHCMS.0102636 FL Primary

Addresses

Primary practice location

14680 SW 8TH St Ste 209
Miami, FL 33184-3138

Mailing address

8822 W Flagler St Apt 9
Miami, FL 33174-2363
Phone (786) 585-5567

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
CBHCMS.0102636FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1619574613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 W FLAGLER ST APT 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742363",
            "telephone_number": "786-585-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14680 SW 8TH ST STE 209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331843138",
            "telephone_number": "786-585-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENAS BRAVO",
        "first_name": "ISBELYS",
        "middle_name": "COROMOTO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCMS.0102636",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 1, 2024; 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.