AZUL COMMUNITY CENTER (NPI# 1568060242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568060242 |
| Entity Type | Organization |
| Organization Name | AZUL COMMUNITY CENTER |
| Practice Address |
10535 Sw 124th Rd Miami FL 33186-3649 |
| Practice Telephone | 3054180608 |
| Practice Fax Number | 3054180609 |
| Mailing Telephone | 3054180608 |
| Mailing Fax Number | 3054180609 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | CECILIA A DE LA CRUZ (PRESIDENT) |
| Authorized Official Telephone | 3054180608 |
| Authorized Official Credential | LCSW, BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0812X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Community |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Azul Community Center LLC | Former Legal Business Name - Organization |
| Street Address |
10535 SW 124TH RD |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356693972 | Cecilia A De La Cruz | Counselor | 10535 Sw 124th Rd, Miami, FL 33186-3649 | 2012-10-05 |
| 1568997443 | Applied Psychology Services Inc | Behavioral Analyst | 10535 Sw 124th Rd, Miami, FL 33186-3649 | 2017-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 364SP0812X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Community |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739028 | Alliance Recovery & Wellness Center LLC | Clinical Nurse Specialist | 692 N Homestead Blvd, Homestead, FL 33030-6236 | 2020-01-15 |
Please comment or provide details below to improve the information on AZUL COMMUNITY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.