Individual provider Active NPI

Yuliet Pena Macias

  • Case Manager/Care Coordinator
  • Palmetto Bay, FL
National Provider Identifier
1891396644
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842
Phone
(305) 964-5824
NPI assigned
Nov 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

15924 SW 92ND Ave
Palmetto Bay, FL 33157-1842

Mailing address

151 SE 8TH St Apt 107
Homestead, FL 33030-7401
Phone (786) 379-9464

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TRABAJO/DESKTOP Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1891396644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SE 8TH ST APT 107",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307401",
            "telephone_number": "786-379-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15924 SW 92ND AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331571842",
            "telephone_number": "305-964-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA MACIAS",
        "first_name": "YULIET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TRABAJO/DESKTOP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "7863799464",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15924 SW 92nd Ave",
            "city": "Palmetto Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331571842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.