Active NPI
Luis Cesar Mustafat Hernandez
- Behavior Technician
- Doral, FL
National Provider Identifier
1093546558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5522 NW 101St CT
Doral, FL 33178-2642 - Phone
- (305) 561-0714
- NPI assigned
- Aug 8, 2024
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
5522 NW 101St CT
Doral, FL 33178-2642
Mailing address
5522 NW 101St CT
Doral, FL 33178-2642
Phone (305) 561-0714
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": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1093546558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5522 NW 101ST CT",
"city": "DORAL",
"state": "FL",
"postal_code": "331782642",
"telephone_number": "305-561-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5522 NW 101ST CT",
"city": "DORAL",
"state": "FL",
"postal_code": "331782642",
"telephone_number": "305-561-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFAT HERNANDEZ",
"first_name": "LUIS",
"middle_name": "CESAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-08",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"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 Sep 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.