Individual provider Active NPI

Mayelin Guerrero

  • Case Manager/Care Coordinator
  • Miramar, FL
National Provider Identifier
1649650367
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CBHCM100604 Issued in FL
Practice address
7782 Juniper St
Miramar, FL 33023-5843
Phone
(786) 370-6147
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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 CBHCM100604 FL Primary

Addresses

Primary practice location

7782 Juniper St
Miramar, FL 33023-5843

Mailing address

8100 Oak LN Ste 404
Miami Lakes, FL 33016-5876
Phone (305) 952-3125

Other identifiers 1

IdentifierTypeStateIssuer
CBHCMS100871OtherFLBEHAVIORAL HEALTH CASE MANAGER SUPERVISOR

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
CBHCM100604FLMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Targeted Case Management of Florida, Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

8100 Oak Ln
Ste 404
Miami Lakes, FL 33016
Phone (305) 952-3125

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1649650367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 OAK LN STE 404",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165876",
            "telephone_number": "305-952-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7782 JUNIPER ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235843",
            "telephone_number": "786-370-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MAYELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM100604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH CASE MANAGER SUPERVISOR",
            "identifier": "CBHCMS100871",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.