Individual provider Active NPI

Indra Silverio Gonzalez, BS, RBT

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1003602095
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-428294 Issued in FL
Practice address
19120 NW 51St Ave
Miami Gardens, FL 33055-2043
Phone
(954) 991-0805
NPI assigned
Apr 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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-25-428294 FL Primary

Addresses

Primary practice location

19120 NW 51St Ave
Miami Gardens, FL 33055-2043

Mailing address

19120 NW 51St Ave
Miami Gardens, FL 33055-2043
Phone (954) 991-0805

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
RBT-25-428294FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1003602095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19120 NW 51ST AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552043",
            "telephone_number": "954-991-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19120 NW 51ST AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552043",
            "telephone_number": "954-991-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERIO GONZALEZ",
        "first_name": "INDRA",
        "credential": "BS, RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-428294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.