NPIMap

Organization Active NPI

Ibero American Action League, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Rochester, NY
National Provider Identifier
1902344575
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
IBERO AMERICAN ACTION LEAGUE, INC.
Practice address
817 E Main St
Rochester, NY 14605-2722
Phone
(585) 256-8900
Fax
(585) 442-0683
NPI assigned
Feb 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Authorized official

Name
Mrs. Angelica Perez-Delgado, CASAC
Title
President & Ceo
Phone
(585) 256-8900

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

817 E Main St
Rochester, NY 14605-2722

Mailing address

817 E Main St
Rochester, NY 14605-2722
Phone (585) 256-8900

Other identifiers 1

IdentifierTypeStateIssuer
161440297MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1902344575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 E MAIN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052722",
            "telephone_number": "585-256-8900",
            "fax_number": "585-442-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 E MAIN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052722",
            "telephone_number": "585-256-8900",
            "fax_number": "585-442-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERO AMERICAN ACTION LEAGUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ-DELGADO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "585-256-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CASAC"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161440297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.