Individual provider Active NPI

Raquel Angelina Cova de Gimenez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1407334139
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
12090 NE 16TH Ave Apt 111
Miami, FL 33161-6538
Phone
(786) 366-1847
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

12090 NE 16TH Ave Apt 111
Miami, FL 33161-6538

Mailing address

12090 NE 16TH Ave Apt 111
Miami, FL 33161-6538
Phone (786) 366-1847

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

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1407334139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12090 NE 16TH AVE APT 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616538",
            "telephone_number": "786-366-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12090 NE 16TH AVE APT 111",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331616538",
            "telephone_number": "786-366-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVA DE GIMENEZ",
        "first_name": "RAQUEL",
        "middle_name": "ANGELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 3, 2018; 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.