Sierra Developmental Enterprise Corp

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SIERRA DEVELOPMENTAL ENTERPRISE CORP

Practice address

10030 Nicaragua Dr
Cutler Bay, FL 33189-2337

Phone

(305) 877-3198

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Clemente Sierra

Title

Director

Phone

(305) 877-3198

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1730458258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10030 NICARAGUA DR",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892337",
            "telephone_number": "305-877-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 NICARAGUA DR",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331892337",
            "telephone_number": "305-877-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA DEVELOPMENTAL ENTERPRISE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CLEMENTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-877-3198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690303796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Shagan
• Tamara Shirley
• Sibera Wellness, LLC
• Marie Sibera
• Sidney J Stern Visual Health Centers PA
• Meily Sierra Rodriguez
• Jennifer D Sifontes, RBT
• Alberto Silva, DMD
• Silver Palm Alf III, LLC
• Janelle Christina Silvestre

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.