NPIMap

Organization Active NPI

Evolution Management Corp

  • Case Manager/Care Coordinator
  • Hialeah, FL
National Provider Identifier
1659039402
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
EVOLUTION MANAGEMENT CORP
Practice address
1725 W 60TH St Apt F311
Hialeah, FL 33012-6839
Phone
(786) 247-6770
NPI assigned
Nov 29, 2021
Last updated
Jan 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Issel Ramon MorenoNPI 1669130399
Title
President
Phone
(786) 247-6770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1725 W 60TH St Apt F311
Hialeah, FL 33012-6839

Mailing address

1725 W 60TH St Apt F311
Hialeah, FL 33012-6839
Phone (786) 247-6770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1659039402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W 60TH ST APT F311",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126839",
            "telephone_number": "786-247-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 60TH ST APT F311",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126839",
            "telephone_number": "786-247-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "RAMON MORENO",
        "authorized_official_first_name": "ISSEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-247-6770"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.