Gabriel Olazarra Rodriguez, CBHCM

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCM101771-P Issued in FL

Practice address

6447 Miami Lakes Dr Ste 200E
Miami Lakes, FL 33014-2706

Phone

(786) 619-6398

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1861963829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6871 SW 129TH AVE APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832459",
            "telephone_number": "786-619-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 MIAMI LAKES DR STE 200E",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142706",
            "telephone_number": "786-619-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAZARRA RODRIGUEZ",
        "first_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "CBHCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM101771-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.