Individual provider Active NPI

Heberto Isidro Valdes Morales

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1316569171
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-117630 Issued in FL
Practice address
27203 SW 157TH Ave
Homestead, FL 33031-3101
Phone
(786) 291-2668
NPI assigned
May 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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-20-117630 FL Primary

Addresses

Primary practice location

27203 SW 157TH Ave
Homestead, FL 33031-3101

Mailing address

27203 SW 157TH Ave
Homestead, FL 33031-3101
Phone (786) 291-2668

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-20-117630FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1316569171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 SW 157TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330313101",
            "telephone_number": "786-291-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 SW 157TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330313101",
            "telephone_number": "786-291-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES MORALES",
        "first_name": "HEBERTO",
        "middle_name": "ISIDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-117630",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 14, 2020; 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.