Individual provider Active NPI

Yaser Rodriguez Suarez, CASE MANAGER

  • Social Worker
  • Hialeah, FL
National Provider Identifier
1740791235
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
900 E 9TH St
Hialeah, FL 33010-4650
Phone
(305) 381-5294
NPI assigned
Oct 24, 2017
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X FL Primary
Case Manager/Care Coordinator 171M00000X FL
Behavior Technician 106S00000X RBT-20-125222 FL

Addresses

Primary practice location

900 E 9TH St
Hialeah, FL 33010-4650

Mailing address

16128 SW 68TH Ter
Miami, FL 33193-3490
Phone (786) 217-8617

Other identifiers 3

IdentifierTypeStateIssuer
CBHCM100436OtherFLCBHCM
CBHCMS100540OtherFLCBHCMS
RBT-20-125222OtherFLRBT CERTIFICATION NUMBER

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
RBT-20-125222FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Larga Vida Medical Service LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

900 E 9th St
Hialeah, FL 33010
Phone (305) 381-5294

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1740791235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16128 SW 68TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331933490",
            "telephone_number": "786-217-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104650",
            "telephone_number": "305-381-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SUAREZ",
        "first_name": "YASER",
        "credential": "CASE MANAGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-125222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHCM",
            "identifier": "CBHCM100436",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHCMS",
            "identifier": "CBHCMS100540",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CERTIFICATION NUMBER",
            "identifier": "RBT-20-125222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 28, 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.