Organization · Type 2 NPI

Social Diversity LLC

Community/Behavioral Health Agency · Miami, FL

NPI number 1245863448 Active

Practice location

12001 SW 128th Ct Ste 101
Miami, FL 33186-4665

Call (786) 975-7485 Map

Mailing address

382 NE 19th Ave
Homestead, FL 33033-5265

Other practice locations

12001 SW 128th Ct Ste 101, Miami, FL 33186-4665 · (954) 860-7166

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
Pediatrics Physician	208000000X	None listed
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

13 other providers at this address

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NPI record

NPI: 1245863448
Entity type: Organization (Type 2)
Issued: Feb 16, 2020
Last updated: May 17, 2022
Status: Active

Other names

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Suniss Up · doing business as
Social Diversity LLC · former legal business name
Social Diversity LLC · former legal business name

Authorized official

Esel Aguilar, FMD/CBHCMS
Owner/ceo
(786) 975-7485

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245863448

Social Diversity LLC's National Provider Identifier is 1245863448, issued on Feb 16, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Miami, FL. The record was last updated on May 17, 2022.