Individual provider Active NPI

Geydi Bernaldina Cordove de la Cruz, CBHCM

  • Social Worker
  • Hialeah, FL
National Provider Identifier
1699491449
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CBHCM103901 Issued in FL
Practice address
975 SE 5TH St
Hialeah, FL 33010-5716
Phone
(786) 226-5289
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CBHCM103901 FL Primary

Addresses

Primary practice location

975 SE 5TH St
Hialeah, FL 33010-5716

Mailing address

975 SE 5TH St
Hialeah, FL 33010-5716
Phone (786) 226-5289

Other names 1

  • Geydi B Cordove de la Cruz Former name

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
CBHCM103901FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1699491449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SE 5TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105716",
            "telephone_number": "786-226-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SE 5TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105716",
            "telephone_number": "786-226-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVE DE LA CRUZ",
        "first_name": "GEYDI",
        "middle_name": "BERNALDINA",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCM103901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEYDI",
            "last_name": "CORDOVE DE LA CRUZ",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 13, 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.