Active NPI
Jonathan De la Torre
- Behavior Analyst
- Hialeah, FL
National Provider Identifier
1215533112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 17350 NW 74TH Ave Apt 201
Hialeah, FL 33015-7189 - Phone
- (954) 804-6211
- NPI assigned
- Dec 7, 2020
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
17350 NW 74TH Ave Apt 201
Hialeah, FL 33015-7189
Mailing address
17350 NW 74TH Ave Apt 201
Hialeah, FL 33015-7189
Phone (954) 804-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114322887 | Other | FL | HUMANA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 3058733626 |
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": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1215533112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17350 NW 74TH AVE APT 201",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330157189",
"telephone_number": "954-804-6211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17350 NW 74TH AVE APT 201",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330157189",
"telephone_number": "954-804-6211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA TORRE",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "114322887",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "3058733626",
"affiliation": "N",
"endpointDescription": "Mother",
"address_1": "17350 NW 74th Ave Apt 201",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330157189",
"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 Dec 7, 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.