Carolina Gomez-Lostalo, MS

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB715333 Issued in FL

Practice address

13155 SW 134TH St Ste 207
Miami, FL 33186-4488

Phone

(786) 842-3624

Fax

(844) 905-1472

NPI assigned

Nov 30, 2021

Last updated

Aug 3, 2023By 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

Credentials

Master of Science

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.

• Super Hero Speech, P.a.

  • Speech-Language Pathologist
  • Miami, FL
  • NPI 1124495791
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1417615121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25060 SW 121ST PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325985",
            "telephone_number": "786-873-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 207",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864488",
            "telephone_number": "786-842-3624",
            "fax_number": "844-905-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 NW 107th Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "FL",
            "postal_code": "331722739",
            "country_code": "US",
            "telephone_number": "786-762-2952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOMEZ-LOSTALO",
        "first_name": "CAROLINA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB715333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresita Gomez-Borbolla, ARNP
• Felipe Gomez-Campos
• Laura Gomez-Colin
• Carmen Gomez-Fernandez
• Jacqueline Gomez-Garzon, MD
• Ramon Gomez-Perez, MD
• Jose Luis Gomez-Quintela, ARNP-CRNA
• Lissette Gomez-Rios, APRN
• Jose Alejandro Gomez-Rivera, D.O.
• Claudia Gomez-Walsh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.