Individual provider Active NPI

Anacleto Orta-Leon

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1184082562
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
551 E 10TH St
Hialeah, FL 33010-3633
Phone
(786) 569-4221
NPI assigned
Feb 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

551 E 10TH St
Hialeah, FL 33010-3633

Mailing address

551 E 10TH St
Hialeah, FL 33010-3633
Phone (786) 569-4221

Other identifiers 1

IdentifierTypeStateIssuer
O634-000-64-253-0OtherFLDL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hialeah

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

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1184082562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 E 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103633",
            "telephone_number": "786-569-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 E 10TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103633",
            "telephone_number": "786-569-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTA-LEON",
        "first_name": "ANACLETO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "O634-000-64-253-0",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hialeah",
            "affiliation": "N",
            "address_1": "551 E 10th St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330103633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.