Nestor Javier Diaz Gonzalez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-62628 Issued in FL

Practice address

2432 SW 102ND PL
Miami, FL 33165-2528

Phone

(305) 967-9075

NPI assigned

Nov 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Proactive Health Center, Corp.

  • Case Management Agency
  • Lehigh Acres, FL
  • NPI 1225527690
  NPD (past)

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1174036354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 SW 102ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652528",
            "telephone_number": "305-967-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 SW 102ND PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652528",
            "telephone_number": "305-967-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GONZALEZ",
        "first_name": "NESTOR",
        "middle_name": "JAVIER",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-62628",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022920400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRES",
            "affiliation": "N",
            "endpointDescription": "ADDRES",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2432 SW 102nd Pl",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331652528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geidy Diaz Gonzalez
• Iliana Diaz Gonzalez
• Jessica Diaz Gonzalez
• Karla Diaz Gonzalez
• Katiuska Diaz Gonzalez, RBT
• Rachel Diaz Gonzalez, RBT
• Sandra Diaz Gonzalez
• Yusnaira Diaz Gonzalez
• Laura Diaz Granados Arango, AGACNP-BC
• Mary T Diaz Granados, PHD

• 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 10, 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.