Organization Active NPI

Open Time Support

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1376803908
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN TIME SUPPORT
Practice address
15075 SW 63Rd Ter
Miami, FL 33193-2784
Phone
(786) 317-2004
Fax
(305) 388-1570
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Mr. Hector Paulino Gonzalez, BCABA
Title
President
Phone
(786) 317-2004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Community/Behavioral Health Agency 251S00000X FL

Addresses

Primary practice location

15075 SW 63Rd Ter
Miami, FL 33193-2784

Mailing address

15075 SW 63Rd Ter
Miami, FL 33193-2784
Phone (786) 317-2004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1376803908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15075 SW 63RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932784",
            "telephone_number": "786-317-2004",
            "fax_number": "305-388-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15075 SW 63RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932784",
            "telephone_number": "786-317-2004",
            "fax_number": "305-388-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN TIME SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "PAULINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-317-2004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCABA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.