Active NPI
Abraham De Jesus Vives-Amor
- Adult Companion
- Hialeah, FL
National Provider Identifier
1851139844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- 240156
- Practice address
- 1038 W 79TH St
Hialeah, FL 33014-3586 - Phone
- (786) 391-8695
- NPI assigned
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 240156 | FL | Primary |
Addresses
Primary practice location
1038 W 79TH St
Hialeah, FL 33014-3586
Mailing address
1038 W 79TH St
Hialeah, FL 33014-3586
Phone (786) 391-8695
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
| License | State | Type | Specialty |
|---|---|---|---|
| 240156 | FL | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1851139844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 W 79TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330143586",
"telephone_number": "786-391-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 W 79TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330143586",
"telephone_number": "786-391-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVES-AMOR",
"first_name": "ABRAHAM",
"middle_name": "DE JESUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "240156",
"primary": true
}
],
"identifiers": [],
"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 Jul 16, 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.