Individual provider Active NPI

Carlos A Diaz Esteban

  • Assistant Behavior Analyst
  • Miami Gardens, FL
National Provider Identifier
1063045318
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-10689 Issued in FL
Practice address
3080 NW 186TH Ter
Miami Gardens, FL 33056-3013
Phone
(786) 715-2766
NPI assigned
Feb 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 106E00000X 0-19-10689 FL Primary

Addresses

Primary practice location

3080 NW 186TH Ter
Miami Gardens, FL 33056-3013

Mailing address

3080 NW 186TH Ter
Miami Gardens, FL 33056-3013
Phone (786) 715-2766

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

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1063045318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 NW 186TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563013",
            "telephone_number": "786-715-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 NW 186TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563013",
            "telephone_number": "786-715-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ ESTEBAN",
        "first_name": "CARLOS",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10689",
            "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 Feb 14, 2020; 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.