Individual provider Active NPI

Maritza Castillo Gonzalez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1205448974
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-130259 Issued in FL
Practice address
3260 NW 98TH St
Miami, FL 33147-2243
Phone
(786) 370-1841
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-130259 FL Primary

Addresses

Primary practice location

3260 NW 98TH St
Miami, FL 33147-2243

Mailing address

3260 NW 98TH St
Miami, FL 33147-2243
Phone (786) 370-1841

Other identifiers 1

IdentifierTypeStateIssuer
C234-540-63-687-0MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Miami

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
RBT-20-130259FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1205448974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472243",
            "telephone_number": "786-370-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 NW 98TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331472243",
            "telephone_number": "786-370-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO GONZALEZ",
        "first_name": "MARITZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-130259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C234-540-63-687-0",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "3260 NW 98th St",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331472243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.