NPIMap

Organization Active NPI

Consuelo's Alf II Inc

  • Assisted Living Facility
  • Tampa, FL
National Provider Identifier
1790229656
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL12923 Issued in FL
Legal business name
CONSUELO'S ALF II INC
Practice address
4335 Wallace Cir
Tampa, FL 33611-3437
Phone
(813) 775-8689
Fax
(813) 839-7495
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Massiel ReynaldoNPI 1952711442
Title
President
Phone
(813) 775-8689

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL12923 FL Primary

Addresses

Primary practice location

4335 Wallace Cir
Tampa, FL 33611-3437

Mailing address

4335 Wallace Cir
Tampa, FL 33611-3437
Phone (813) 775-8689

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1790229656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4335 WALLACE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113437",
            "telephone_number": "813-775-8689",
            "fax_number": "813-839-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4335 WALLACE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336113437",
            "telephone_number": "813-775-8689",
            "fax_number": "813-839-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUELO'S ALF II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "REYNALDO",
        "authorized_official_first_name": "MASSIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-775-8689"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.