Ivan Perez Rosado

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

950 NW 123Rd CT
Miami, FL 33182-2411

Phone

(786) 450-0991

NPI assigned

Feb 23, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lovely Kids LLC

  • Behavior Analyst
  • Cutler Bay, FL
  • NPI 1497464770
  NPD (past)

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1518613181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NW 123RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822411",
            "telephone_number": "786-450-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NW 123RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822411",
            "telephone_number": "786-450-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ROSADO",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110417200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mail.yahoo.com/d/folders/1?.intl=e1&.lang=es-US",
            "affiliation": "N",
            "address_1": "950 NW 123rd Ct",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331822411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zulema Perez Rodriguez
• Nadine Perez Rojas
• Maria Fernanda Perez Romo
• Marcos Perez Roque
• Yamila Perez Roque Sr.
• Fernando Perez Rubio
• Claudette Perez Ruiz, MSN, BSN, RN, APRN,
• Ivis Perez Ruiz
• Yanileisy Perez Salas
• Katherine Perez Salcedo

• 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 Feb 23, 2022; 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.