Jesus Morejon, FMD

Individual provider Active NPI Case Manager/Care Coordinator · Coconut Grove, FL

NPI 1932142106 · NPPES record last updated Nov 18, 2019

Key facts

NPI
1932142106
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2780 SW 37TH Ave Ste 206
Coconut Grove, FL 33133-2740
Phone
(305) 640-0112
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2780 SW 37TH Ave Ste 206
Coconut Grove, FL 33133-2740

Mailing address

11031 NE 6TH Ave
Miami, FL 33161-7182
Phone (305) 398-6100

Other practice location 1

3850 W Flagler St
Coral Gables, FL 33134-1604
Phone (305) 774-3334

Other identifiers

IdentifierTypeStateIssuer
757012100MedicaidFL

Other providers in Coconut Grove, FL

All providers in Coconut Grove, FL · Case Manager/Care Coordinator in Florida

Sources for this page

Verify at the official NPI Registry.