Active NPI
Alexis Valentin Calderon Disotuar
- Behavior Technician
- Miami, FL
National Provider Identifier
1144817362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-124059
- Practice address
- 18511 SW 200TH St
Miami, FL 33187-2503 - Phone
- (786) 333-0232
- NPI assigned
- Dec 22, 2020
- 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 | 20-124059 | FL | Primary |
Addresses
Primary practice location
18511 SW 200TH St
Miami, FL 33187-2503
Mailing address
18511 SW 200TH St
Miami, FL 33187-2503
Phone (786) 333-0232
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20-124059 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexcaldis Services LLC | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1144817362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18511 SW 200TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331872503",
"telephone_number": "786-333-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18511 SW 200TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331872503",
"telephone_number": "786-333-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON DISOTUAR",
"first_name": "ALEXIS",
"middle_name": "VALENTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-124059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.