Individual provider Active NPI

Yoansy Izquierdo, CBHCM

  • Community/Behavioral Health Agency
  • Miami Gardens, FL
National Provider Identifier
1841011640
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0100271 Issued in FL
Practice address
18501 NW 56TH Ave
Miami Gardens, FL 33055-5328
Phone
(305) 970-4170
NPI assigned
Oct 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0100271 FL Primary

Addresses

Primary practice location

18501 NW 56TH Ave
Miami Gardens, FL 33055-5328

Mailing address

18501 NW 56TH Ave
Miami Gardens, FL 33055-5328
Phone (305) 970-4170

Other names 1

  • Yoansy Izquierdo Professional name

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
0100271FLMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1841011640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18501 NW 56TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330555328",
            "telephone_number": "305-970-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18501 NW 56TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330555328",
            "telephone_number": "305-970-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO",
        "first_name": "YOANSY",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "0100271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOANSY",
            "last_name": "IZQUIERDO",
            "credential": "CBHCM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.