Ilen Maria Gonzalez Carriegos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

230 NW 109TH Ave Apt 104
Miami, FL 33172-5254

Phone

(786) 474-7007

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1144942178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NW 109TH AVE APT 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725254",
            "telephone_number": "786-474-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NW 109TH AVE APT 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725254",
            "telephone_number": "786-474-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CARRIEGOS",
        "first_name": "ILEN",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Gonzalez Capo
• Hilda Gonzalez Caraballo
• Riset Antonia Gonzalez Carbonell
• Gonzalez Care Services LLC
• Yanecsy Gonzalez Caro
• Sandra Gonzalez Carrillo
• Glemnys Gonzalez Casal, PTA
• Tania M Gonzalez Casal, PT
• Jasmine Gonzalez Castillo, DMD
• Jissel Gonzalez Castillo

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.