Individual provider Active NPI

Alfredo Valentin, TCMS

  • Case Manager/Care Coordinator
  • Saint Cloud, FL
National Provider Identifier
1730603085
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3201 Budinger Ave
Saint Cloud, FL 34769-7203
Phone
(407) 910-2941
Fax
(888) 477-7678
NPI assigned
Jul 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X FL Primary

Addresses

Primary practice location

3201 Budinger Ave
Saint Cloud, FL 34769-7203

Mailing address

665 Woodridge Dr
Fern Park, FL 32730-2932
Phone (407) 928-3035

Other identifiers 1

IdentifierTypeStateIssuer
008033800MedicaidFL

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

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501200000000",
    "number": "1730603085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 WOODRIDGE DR",
            "city": "FERN PARK",
            "state": "FL",
            "postal_code": "327302932",
            "telephone_number": "407-928-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 BUDINGER AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347697203",
            "telephone_number": "407-910-2941",
            "fax_number": "888-477-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "TCMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008033800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.