NPIMap

Organization Active NPI

Miami-Dade Targeted Case Management, Corp

  • Social Worker
  • Miami, FL
National Provider Identifier
1699140939
Registry record updated Dec 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
MIAMI-DADE TARGETED CASE MANAGEMENT, CORP
Practice address
175 Fontainebleau Blvd Ste 1R12
Miami, FL 33172-4511
Phone
(305) 389-0709
NPI assigned
Dec 12, 2015
Last updated
Dec 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2015

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

Authorized official

Name
Jorge L GonzalezNPI 1770737603
Title
Owner
Phone
(305) 389-0709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 1R12
Miami, FL 33172-4511

Mailing address

175 Fontainebleau Blvd Ste 1R12
Miami, FL 33172-4511
Phone (305) 389-0709

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": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449878400000",
    "number": "1699140939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "305-389-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 1R12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724511",
            "telephone_number": "305-389-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI-DADE TARGETED CASE MANAGEMENT, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2015-12-12",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-389-0709"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "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 Dec 12, 2015; 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.