Provider Demographics
NPI:1295182749
Name:PRIME CASE MANAGEMENT, LLC
Entity Type:Organization
Organization Name:PRIME CASE MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-254-8901
Mailing Address - Street 1:13032 SW 133RD CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-5855
Mailing Address - Country:US
Mailing Address - Phone:305-254-8901
Mailing Address - Fax:305-254-8902
Practice Address - Street 1:13032 SW 133RD CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5855
Practice Address - Country:US
Practice Address - Phone:305-254-8901
Practice Address - Fax:305-254-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-14
Last Update Date:2016-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management