Individual provider Active NPI

Edgar Jesus Guirado

  • Behavior Technician
  • Palmetto Bay, FL
National Provider Identifier
1053169375
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-332054 Issued in FL
Practice address
9555 SW 175TH Ter # 555
Palmetto Bay, FL 33157-5604
Phone
(786) 281-4193
Fax
(130) 564-8334
NPI assigned
May 10, 2024
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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-24-332054 FL Primary

Addresses

Primary practice location

9555 SW 175TH Ter # 555
Palmetto Bay, FL 33157-5604

Mailing address

5085 NW 7TH St Apt 411
Miami, FL 33126-3453
Phone (305) 833-9411

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-24-332054FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1053169375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 NW 7TH ST APT 411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263453",
            "telephone_number": "305-833-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 SW 175TH TER # 555",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575604",
            "telephone_number": "786-281-4193",
            "fax_number": "130-564-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIRADO",
        "first_name": "EDGAR",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-332054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.