Mariela Bernal de Tovar

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24-346726 Issued in FL

Practice address

900 E 9TH St
Hialeah, FL 33010-4650

Phone

(305) 381-5294

Fax

(786) 685-2266

NPI assigned

May 3, 2024

Last updated

May 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Larga Vida Medical Service LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
  • NPI 1659995199
  NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1376390609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 SW 4TH ST APT 303",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302264",
            "telephone_number": "305-970-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 9TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104650",
            "telephone_number": "305-381-5294",
            "fax_number": "786-685-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL DE TOVAR",
        "first_name": "MARIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24-346726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lidia Rosa Bermudez, MD
• Ricardo Bermudez
• Sydney Angela Bermudez
• Yasiel Bermudez
• Lisandra Bernal Acuay
• Katerina Bernal Hernandez
• Bernal Home Care Solution LLC
• Brenda Marie Bernal
• Chavely Bernal
• Gabriela Bernal

• Behavior Technician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.