Individual provider Active NPI

Sergio Valiente Palacios

  • Case Manager/Care Coordinator
  • Miami, FL
National Provider Identifier
1942870902
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
101796 Issued in FL
Practice address
2496 SW 17TH Ave Apt 5311
Miami, FL 33145-3869
Phone
(305) 539-8305
NPI assigned
Jun 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 101796 FL Primary

Addresses

Primary practice location

2496 SW 17TH Ave Apt 5311
Miami, FL 33145-3869

Mailing address

2496 SW 17TH Ave Apt 5311
Miami, FL 33145-3869

Other identifiers 1

IdentifierTypeStateIssuer
101796OtherFLTHE FLORIDA CERTIFICATION BOARD

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
101796FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1942870902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 SW 17TH AVE APT 5311",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 SW 17TH AVE APT 5311",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453869",
            "telephone_number": "305-539-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIENTE PALACIOS",
        "first_name": "SERGIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "101796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE FLORIDA CERTIFICATION BOARD",
            "identifier": "101796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.