Individual provider Active NPI

Maitee Hernandez Rivero, CBHCM

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1255955712
Registry record updated Nov 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6520 SW 49TH Ter
Miami, FL 33155-6136
Phone
(786) 316-7437
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CBHCMP100522 FL
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6520 SW 49TH Ter
Miami, FL 33155-6136

Mailing address

6520 SW 49TH Ter
Miami, FL 33155-6136
Phone (786) 316-7437

Other identifiers 2

IdentifierTypeStateIssuer
CBHCMP100522OtherFLCBHCM CERTIFICATION
108140000MedicaidFL

Other names 1

  • Maitee Hernandez Rivero Professional name

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
CBHCMP100522FLMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1255955712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 SW 49TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556136",
            "telephone_number": "786-316-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 SW 49TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556136",
            "telephone_number": "786-316-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ RIVERO",
        "first_name": "MAITEE",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMP100522",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBHCM CERTIFICATION",
            "identifier": "CBHCMP100522",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108140000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAITEE",
            "last_name": "HERNANDEZ RIVERO",
            "credential": "BEHAVIOR T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Nov 5, 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.

Verify at the official NPI Registry.