Active NPI
Susana Perez, CBHCM-P
- Case Manager/Care Coordinator
- Miami, FL
National Provider Identifier
1649923962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CBHCM-P102505
- Practice address
- 191 NW 97TH Ave Apt 114
Miami, FL 33172-4116 - Phone
- (786) 372-2133
- NPI assigned
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | CBHCM-P102505 | FL | |
| Case Manager/Care Coordinator | 171M00000X | CBHCM-P102505 | FL | Primary |
Addresses
Primary practice location
191 NW 97TH Ave Apt 114
Miami, FL 33172-4116
Mailing address
191 NW 97TH Ave Apt 114
Miami, FL 33172-4116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P625-780-85-669-0 | Other | FL | CREDENTIAL NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CBHCM-P102505 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1649923962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 NW 97TH AVE APT 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 NW 97TH AVE APT 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331724116",
"telephone_number": "786-372-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "SUSANA",
"credential": "CBHCM-P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "FL",
"license": "CBHCM-P102505",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "CBHCM-P102505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CREDENTIAL NUMBER",
"identifier": "P625-780-85-669-0",
"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 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.