Individual provider Active NPI

Ernesto Pena Estrada

  • Behavior Technician
  • Cutler Bay, FL
National Provider Identifier
1487467858
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8000 SW 210TH St Apt 602B
Cutler Bay, FL 33189-4012
Phone
(239) 462-7149
NPI assigned
Jan 29, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

8000 SW 210TH St Apt 602B
Cutler Bay, FL 33189-4012

Mailing address

8000 SW 210TH St Apt 602B
Cutler Bay, FL 33189-4012
Phone (239) 462-7149

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": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1487467858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 SW 210TH ST APT 602B",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331894012",
            "telephone_number": "239-462-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 SW 210TH ST APT 602B",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331894012",
            "telephone_number": "239-462-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA ESTRADA",
        "first_name": "ERNESTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.