Individual provider Active NPI

Luis M Pato

  • Behavior Technician
  • Hialeah Gardens, FL
National Provider Identifier
1164043840
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-117002 Issued in FL
Practice address
9142 NW 114TH St
Hialeah Gardens, FL 33018-4137
Phone
(954) 839-5297
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X 20-117002 FL Primary

Addresses

Primary practice location

9142 NW 114TH St
Hialeah Gardens, FL 33018-4137

Mailing address

9142 NW 114TH St
Hialeah Gardens, FL 33018-4137
Phone (954) 839-5297

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

LicenseStateTypeSpecialty
20-117002FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
S & S Medical Center LLC 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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1164043840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9142 NW 114TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184137",
            "telephone_number": "954-839-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9142 NW 114TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330184137",
            "telephone_number": "954-839-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATO",
        "first_name": "LUIS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-117002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.