Ivis M Gonzalez Riverol

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5090 Buchanan Rd
Delray Beach, FL 33484-4267

Phone

(786) 624-1176

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1467079962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 BUCHANAN RD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334844267",
            "telephone_number": "786-624-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 BUCHANAN RD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334844267",
            "telephone_number": "786-624-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ RIVEROL",
        "first_name": "IVIS",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mail",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5090 Buchanan Rd",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334844267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hilary Gomolin, MD
• Tristan Gregory Goncalves
• Brian Michael Gong, LMHC
• Charles Ozak Gonik, M.D.
• Audrey Fe Caingles Gonzales
• Alexa Gonzalez
• Ana Teresa Gonzalez, BCABA
• Bianca Alexa Gonzalez, APRN
• Yudisleidy Gonzalez
• Good Future Inc

• Behavior Technician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.