Individual provider Active NPI

Julio Cesar Castillo Lopez

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1265071286
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-90460 Issued in FL
Practice address
27501 S Dixie Hwy
Homestead, FL 33032-8235
Phone
(786) 339-8785
NPI assigned
Dec 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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-19-90460 FL Primary

Addresses

Primary practice location

27501 S Dixie Hwy
Homestead, FL 33032-8235

Mailing address

8836 SW 38TH St
Miami, FL 33165-5463
Phone (305) 303-2848

Other identifiers 1

IdentifierTypeStateIssuer
104742800MedicaidFL

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-19-90460FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1265071286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 SW 38TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655463",
            "telephone_number": "305-303-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27501 S DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328235",
            "telephone_number": "786-339-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO LOPEZ",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-90460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104742800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.