Sergio Alejandro Villatoro Sr., CBHCMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCMS.0102575 Issued in FL

Practice address

1666 79TH Street Cswy Ste 603
North Bay Village, FL 33141-4190

Phone

(786) 518-8931

NPI assigned

Jan 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Community Support, LLC

  • Case Management Agency
  • North Bay Village, FL
  • NPI 1619580669
  NPD Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1700590643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 79TH STREET CSWY STE 603",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414190",
            "telephone_number": "786-518-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 79TH STREET CSWY STE 603",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414190",
            "telephone_number": "786-518-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLATORO",
        "first_name": "SERGIO",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CBHCMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS.0102575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Van Sky
• Daniela Vanegas
• Adelis Jacinto Vargas Torrealba, SA-C
• Gladys De la Caridad Vazquez Calderin
• Veronica Versari, M.D.
• Deborah Jones Weiss, PHD
• Veronica Wiggan
• Deborah Champlin Wilson, ARNP
• Jazmin Wilson, LPN
• Jason Xuna, O.D.

• Case Manager/Care Coordinator in North Bay Village, FL
• Providers in North Bay Village, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.