Sandra Alina Gonzalez Caballero

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

18-73121 Issued in FL

Practice address

11580 SW 30TH St Unit 308
Miramar, FL 33025-7853

Phone

(786) 792-2873

NPI assigned

Jul 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quantum SL Health Services Corp

  • Home Health Agency
  • Weston, FL
  • NPI 1770457996
  NPD

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1225550171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11580 SW 30TH ST UNIT 308",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257853",
            "telephone_number": "786-792-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11580 SW 30TH ST UNIT 308",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257853",
            "telephone_number": "786-792-2873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5811 SW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331552120",
            "country_code": "US",
            "telephone_number": "786-792-2873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 SW 119th Ave Unit 108",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330257843",
            "country_code": "US",
            "telephone_number": "786-792-2873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ CABALLERO",
        "first_name": "SANDRA",
        "middle_name": "ALINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-73121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narciso Lino Gomez, M.D.
• Ramon Emilio Gomez Jr., M.D.
• Yaumiri Gomez
• Yelena Gomez, APRN
• Alicia Gonzalez Amador
• Ernesto Jose Gonzalez Choy
• Daniellys Gonzalez del Risco
• Yamela Gonzalez Diaz
• Katia Gonzalez Farinas, DMD
• Marlen Gonzalez Fernandez

• Behavior Technician in Miramar, FL
• Providers in Miramar, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.