Active NPI
Julio L. Vega, MA
- Social Worker
- Miami, FL
National Provider Identifier
1659315638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1469 NW 36TH St
Miami, FL 33142 - Phone
- (786) 433-8633
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 Manager/Care Coordinator | 171M00000X | FL | ||
| Social Worker | 104100000X | FL | Primary |
Addresses
Primary practice location
1469 NW 36TH St
Miami, FL 33142
Mailing address
11031 NE 6TH Ave
Miami, FL 33161-7182
Phone (305) 398-6100
Other practice location 1
4469 NW 167th St
Opa Locka, FL 33055-4311
Phone (305) 621-1455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100425600 | Medicaid | FL | |
| 767027300 | Medicaid | FL |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1659315638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11031 NE 6TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331617182",
"telephone_number": "305-398-6100",
"fax_number": "305-757-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1469 NW 36TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "33142",
"telephone_number": "786-433-8633"
}
],
"practiceLocations": [
{
"address_1": "4469 NW 167th St",
"address_purpose": "LOCATION",
"city": "Opa Locka",
"state": "FL",
"postal_code": "330554311",
"country_code": "US",
"telephone_number": "305-621-1455",
"fax_number": "305-621-5508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEGA",
"first_name": "JULIO",
"middle_name": "L.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2019-02-08",
"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": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100425600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767027300",
"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 Feb 8, 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.