Individual provider Active NPI

Claudia C Lara Canizares, CBHCMS

  • Case Management Agency
  • Coral Gables, FL
National Provider Identifier
1891563144
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0102519 Issued in FL
Practice address
306 Alcazar Ave Ste 205
Coral Gables, FL 33134-4331
Phone
(305) 967-8725
Fax
(305) 967-8446
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0102519 FL Primary

Addresses

Primary practice location

306 Alcazar Ave Ste 205
Coral Gables, FL 33134-4331

Mailing address

3600 NW 102ND St
Miami, FL 33147-1538
Phone (786) 973-5266

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
0102519FLMDCase Management Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Mental Health LLC CurrentSince Dec 17, 2023 Accepting new patients
Ajm Medical Center, LLC Case Management CurrentSince Dec 17, 2023 Accepting new patients

Locations

306 Alcazar Ave
Ste 205
Coral Gables, FL 33134
Phone (305) 967-8725

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1891563144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 NW 102ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331471538",
            "telephone_number": "786-973-5266",
            "fax_number": "305-967-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 ALCAZAR AVE STE 205",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344331",
            "telephone_number": "305-967-8725",
            "fax_number": "305-967-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA CANIZARES",
        "first_name": "CLAUDIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "0102519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.