Active NPI
Hector Ernesto Gomez Perera
- Behavior Technician
- Orlando, FL
National Provider Identifier
1174399638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-312042
- Practice address
- 4792 Indian Gap Dr
Orlando, FL 32812-8211 - Phone
- (321) 313-8014
- NPI assigned
- Nov 27, 2023
- Last updated
- Jul 26, 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 | RBT-23-312042 | FL | Primary |
Addresses
Primary practice location
4792 Indian Gap Dr
Orlando, FL 32812-8211
Mailing address
4792 Indian Gap Dr
Orlando, FL 32812-8211
Phone (321) 313-8014
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 |
|---|---|---|---|
| RBT-23-312042 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1174399638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4792 INDIAN GAP DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328128211",
"telephone_number": "321-313-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4792 INDIAN GAP DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328128211",
"telephone_number": "321-313-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ PERERA",
"first_name": "HECTOR",
"middle_name": "ERNESTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-27",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-312042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.