Individual provider Active NPI

Alejandro Guesler Real Gonzalez

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1265254353
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10090 NW 80 CT
1351
Miami Lakes, FL 33016
Phone
(786) 754-6416
NPI assigned
Oct 29, 2024
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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 FL Primary

Addresses

Primary practice location

10090 NW 80 CT
1351
Miami Lakes, FL 33016

Mailing address

10090 NW 80TH CT Apt 1351
Hialeah Gardens, FL 33016-2241
Phone (786) 754-6416

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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1265254353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 NW 80TH CT APT 1351",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162241",
            "telephone_number": "786-754-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 NW 80 CT",
            "address_2": "1351",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "786-754-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL GONZALEZ",
        "first_name": "ALEJANDRO",
        "middle_name": "GUESLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.