Active NPI
Gilberto Hurtado Perez
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1073019865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-57311
- Practice address
- 18645 SW 291St St
Homestead, FL 33030-3056 - Phone
- (786) 580-9262
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 1-21-57311 | CO | Primary |
Addresses
Primary practice location
18645 SW 291St St
Homestead, FL 33030-3056
Mailing address
2724 Lincoln St
Hollywood, FL 33020-3846
Phone (786) 580-9262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019624600 | Medicaid | FL |
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 |
|---|---|---|---|
| Give Behavior Therapy | Behavior Analyst | Current | Accepting new patients |
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.
-
- Behavior Analyst
- Hollywood, FL
- NPI 1235853078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1073019865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 LINCOLN ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330203846",
"telephone_number": "786-580-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18645 SW 291ST ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330303056",
"telephone_number": "786-580-9262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTADO PEREZ",
"first_name": "GILBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-21-57311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019624600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.