Active NPI
Veronica C Maldonado Rada
- Behavior Technician
- Coral Gables, FL
National Provider Identifier
1285335273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-241213
- Practice address
- 2020 Ponce de Leon Blvd Ste 1201
Coral Gables, FL 33134-4476 - Phone
- (305) 917-5414
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- 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 Technician | 106S00000X | 22-241213 | FL | Primary |
Addresses
Primary practice location
2020 Ponce de Leon Blvd Ste 1201
Coral Gables, FL 33134-4476
Mailing address
925 NW 97TH Ave Apt 301
Miami, FL 33172-2377
Phone (305) 457-8209
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-241213 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1285335273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 NW 97TH AVE APT 301",
"city": "MIAMI",
"state": "FL",
"postal_code": "331722377",
"telephone_number": "305-457-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PONCE DE LEON BLVD STE 1201",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344476",
"telephone_number": "305-917-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO RADA",
"first_name": "VERONICA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-15",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "22-241213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.