Active NPI
Reynaldo Madera
- Behavior Technician
- Coral Gables, FL
National Provider Identifier
1184179541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108 - Phone
- (844) 854-1116
- NPI assigned
- Aug 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Mailing address
16281 SW 79TH Ter
Miami, FL 33193-3430
Phone (305) 878-6462
Other practice location 1
440 Sawgrass Corporate Pkwy Ste 106
Sunrise, FL 33325-6236
Phone (954) 745-1112
Other practice location 2
6416 NW 5th Way
Fort Lauderdale, FL 33309
Phone (888) 754-0398
Other practice location 3
6416 NW 5th Way
Fort Lauderdale, FL 33309
Phone (888) 754-0398
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": "1471219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1184179541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16281 SW 79TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331933430",
"telephone_number": "305-878-6462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108",
"telephone_number": "844-854-1116"
}
],
"practiceLocations": [
{
"address_1": "440 Sawgrass Corporate Pkwy Ste 106",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333256236",
"country_code": "US",
"telephone_number": "954-745-1112",
"fax_number": "954-745-1120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6416 NW 5th Way",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "33309",
"country_code": "US",
"telephone_number": "888-754-0398",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6416 NW 5th Way",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "33309",
"country_code": "US",
"telephone_number": "888-754-0398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADERA",
"first_name": "REYNALDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-15",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.