Active NPI
Damian Oliveros
- Behavior Technician
- Doral, FL
National Provider Identifier
1023824703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2500 NW 79TH Ave Ste 290
Doral, FL 33122-1090 - Phone
- (786) 803-8388
- NPI assigned
- Dec 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2500 NW 79TH Ave Ste 290
Doral, FL 33122-1090
Mailing address
14811 SW 296TH St
Homestead, FL 33033-2823
Phone (305) 283-3025
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestead Behavioral Care Corp | Behavior Technician | Current | Accepting new patients |
Locations
2500 NW 79th Ave
Ste 290
Miami, FL 33122
Phone (305) 615-0708
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1023824703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14811 SW 296TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330332823",
"telephone_number": "305-283-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NW 79TH AVE STE 290",
"city": "DORAL",
"state": "FL",
"postal_code": "331221090",
"telephone_number": "786-803-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEROS",
"first_name": "DAMIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-06",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.