1922415504 NPI number — MR. JULIAN ENRIQUE VIVES M.S., NCC, RMHCI

Table of content: MR. JULIAN ENRIQUE VIVES M.S., NCC, RMHCI (NPI 1922415504)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922415504 NPI number — MR. JULIAN ENRIQUE VIVES M.S., NCC, RMHCI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VIVES
Provider First Name:
JULIAN
Provider Middle Name:
ENRIQUE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.S., NCC, RMHCI
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922415504
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6100 BLUE LAGOON DR
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126-2079
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-398-6100
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 NW 59TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33127-1218
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-759-8888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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