Organization Active NPI

Tesalia Community Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1952998585
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TESALIA COMMUNITY CENTER INC
Practice address
2141 SW 1St St Ste 201
Miami, FL 33135-5602
Phone
(786) 973-0957
NPI assigned
Dec 29, 2020
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Doraimis Rodriguez
Title
Owner
Phone
(786) 310-7678

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2141 SW 1St St Ste 201
Miami, FL 33135-5602

Mailing address

2141 SW 1St St Ste 201
Miami, FL 33135-5602
Phone (786) 973-0957

Other identifiers 1

IdentifierTypeStateIssuer
116218900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220204000052 FL Part B Supplier - Clinic/Group Practice 1850784315 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL
O20240814001814 FL Part B Supplier - Independent Clinical Laboratory 1850784315 Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Tesalia Community Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2141 SW 1st St
Ste 201
Miami, FL 33135
Phone (305) 720-3663

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1952998585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 SW 1ST ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355602",
            "telephone_number": "786-973-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 SW 1ST ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331355602",
            "telephone_number": "786-973-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESALIA COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DORAIMIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-310-7678"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116218900",
            "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 Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.