Individual provider Active NPI

Jose Emilio Polo-Madero, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1003467952
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-99364 Issued in FL
Practice address
3780 NW 22ND Ave Apt 707
Miami, FL 33142-8322
Phone
(305) 528-6974
NPI assigned
Sep 23, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-99364 FL Primary

Addresses

Primary practice location

3780 NW 22ND Ave Apt 707
Miami, FL 33142-8322

Mailing address

3780 NW 22ND Ave Apt 707
Miami, FL 33142-8322
Phone (305) 528-6974

Other identifiers 1

IdentifierTypeStateIssuer
BACB513306OtherFLBACB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-99364FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1003467952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 NW 22ND AVE APT 707",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428322",
            "telephone_number": "305-528-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 NW 22ND AVE APT 707",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428322",
            "telephone_number": "305-528-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLO-MADERO",
        "first_name": "JOSE",
        "middle_name": "EMILIO",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-99364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "BACB513306",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.