JORGE FERNANDEZ (NPI# 1205469640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205469640 |
| Entity Type | Individual |
| Full Name | JORGE FERNANDEZ |
| Credential | CBHCMS,CBHCM |
| Practice Address |
15115 Sw 31st Ter Miami FL 33185-4904 |
| Practice Telephone | 3058124807 |
| Mailing Telephone | 3058124807 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089965 | Jorge Daniel Fernandez | Behavior Technician | 9278 Sw 146th Ct, Miami, FL 33186-1071 | 2020-10-01 |
| 1871147173 | Jorge Antonio Fernandez | Specialist/Technologist, Other | 6131 Aztec Rd, El Paso, TX 79925-2012 | 2019-07-25 |
| 1386109809 | Jorge Fernandez | Social Worker | 380 Mather St Apt 2111, Hamden, CT 06514-3155 | 2019-02-08 |
| 1477993574 | Jorge Luis Fernandez Jr. | Physical Therapist | 556 Hialeah Dr, Hialeah, FL 33010-5349 | 2013-07-03 |
| 1649557059 | Jorge Enrique Fernandez | General Practice | 16325 Nw 78 Th Ave, Miami Lakes, FL 33016 | 2011-11-14 |
| 1578895314 | Jorge Arturo Fernandez | Obstetrics & Gynecology | 7100 W 20th Ave Ste 803, Hialeah, FL 33016-1814 | 2010-02-04 |
| 1295778090 | Jorge Antonio Fernandez Jr. | Emergency Medicine | 393 E. Walnut Street, Pasadena, CA 91188-0001 | 2006-06-13 |
| 1952389595 | Jorge Fernandez | Licensed Practical Nurse | Ave 65 Infanterria Km 3.4, Bo Sabana Llana, San Juan, PR 00924 | 2006-01-04 |
| 1730715590 | Jorge Fernandez | Behavior Technician | 8785 Sw 165th Ave Ste 103, Miami, FL 33193-5827 | 2020-03-12 |
| 1285123950 | Jorge H Fernandez | Social Worker | 450 Brookline Ave, Boston, MA 02215-5450 | 2018-05-08 |
| Street Address |
15115 SW 31ST TER |
| City | MIAMI |
| State | FL |
| Zip Code | 33185-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155705 | Yadisne Barrera | Behavior Technician | 15000 Sw 42 Terra, Miami, FL 33185 | 2020-08-18 |
| 1619515525 | Dairelys Mejia | Behavior Technician | 16636 Sw 47 Terra, Miami, FL 33185 | 2019-12-11 |
| 1750868535 | Abuelas Retirement Home, Inc. | Assisted Living Facility | 4257 Sw 154th Ct, Miami, FL 33185 | 2018-07-24 |
| 1831683812 | Rosa Yanet Manzano | Nurse Practitioner | 15549 Sw 32 Terrace, Miami, FL 33185 | 2018-06-21 |
| 1124518527 | Odalis Aragon | Behavior Technician | 3090 Sw 149th Ave, Miami, FL 33185 | 2018-05-11 |
| 1649777269 | Dairy Torres | Behavior Technician | 4411 Sw 163rd Psge, Miami, FL 33185 | 2018-04-10 |
| 1629572912 | Pedro Jose Molina | Nurse Practitioner | 3481 Sw 152 Pl, Miami, FL 33185 | 2018-03-21 |
| 1043720519 | Elibel Barbara Atala | Behavior Technician | 15356 Sw 43rd Ter, Miami, FL 33185 | 2017-10-10 |
| 1346768314 | Ilineis Gonzalez | Behavioral Analyst | 14932 Sw 30th Ter, Miami, FL 33185 | 2017-08-30 |
| 1306371414 | Casa Del Sol Adult Day Care, LLC | Clinic/Center | 14770 Sw 26th Street, Suite 102-103, Miami, FL 33185 | 2017-04-26 |
| Find all providers in zip 33185 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1245847136 | Dagmara Jimenez | Case Manager/Care Coordinator | 912 Sw 104th Ave, Miami, FL 33174-2756 | 2020-09-25 |
| 1932715018 | Evelio O Rodriguez | Case Manager/Care Coordinator | 914 Sw 65th Ave, Miami, FL 33144-4832 | 2020-09-23 |
| 1780290627 | Social Integrity Mental Health Corp | Case Manager/Care Coordinator | 13550 Sw 88th St Ste 270b, Miami, FL 33186-1513 | 2020-09-16 |
| 1265045231 | Excellent Social Services LLC | Case Manager/Care Coordinator | 3485 W Flagler St Ste 500, Miami, FL 33135-1046 | 2020-08-28 |
| 1730790338 | Daisys Lucia Sanchez Gonzalez | Case Manager/Care Coordinator | 1233 Nw 54th St, Miami, FL 33142-3857 | 2020-08-17 |
| 1346851177 | Yanetsy Rivero | Case Manager/Care Coordinator | 10313 Sw 24th St, Miami, FL 33165-7982 | 2020-08-14 |
| 1962011536 | Juan Alberto Delgado Brito | Case Manager/Care Coordinator | 110 Fontainebleau Blvd Apt 307, Miami, FL 33172-4571 | 2020-07-29 |
| 1942818547 | Patient Care Solutions LLC | Case Manager/Care Coordinator | 4960 Sw 72nd Ave Ste 305, Miami, FL 33155-5550 | 2020-07-20 |
| 1346868627 | Osvaldo Gonzalez | Case Manager/Care Coordinator | 14902 Sw 173rd Ter, Miami, FL 33187-6756 | 2020-07-13 |
| Find all providers in MIAMI | ||||
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| 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.