Provider Demographics
NPI:1063912665
Name:ASC CASE MANAGER SERVICES, CORP
Entity type:Organization
Organization Name:ASC CASE MANAGER SERVICES, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:SERGIO
Authorized Official - Last Name:CASARIEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-768-0184
Mailing Address - Street 1:2460 SW 137TH AVE STE 253
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6399
Mailing Address - Country:US
Mailing Address - Phone:305-982-8319
Mailing Address - Fax:786-536-6578
Practice Address - Street 1:2460 SW 137TH AVE STE 253
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6399
Practice Address - Country:US
Practice Address - Phone:305-982-8319
Practice Address - Fax:786-536-6578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management