Individual provider Active NPI

Enrique Hernandez

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1356074611
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
26423 SW 135TH CT
Homestead, FL 33032-2558
Phone
(786) 273-5509
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

26423 SW 135TH CT
Homestead, FL 33032-2558

Mailing address

10261 SW 72ND St Ste 104
Miami, FL 33173-3023
Phone (786) 773-3654

Other practice location 1

10261 SW 72nd St Ste 104
Miami, FL 33173-3023
Phone (786) 773-3654

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address management@abaparadise.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Hands Therapy Services. Inc PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1356074611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 SW 72ND ST STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733023",
            "telephone_number": "786-773-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26423 SW 135TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330322558",
            "telephone_number": "786-273-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10261 SW 72nd St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733023",
            "country_code": "US",
            "telephone_number": "786-773-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@abaparadise.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Other",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Other",
            "address_1": "26423 SW 135th Ct",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330322558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 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.