Individual provider Active NPI

Ediel Perez Noguera, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1548027899
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-323508 Issued in FL
Practice address
11285 SW 211TH St
Miami, FL 33189-2211
Phone
(786) 633-2937
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X CBHCM0106402-P FL
Behavior Technician 106S00000X RBT-24-323508 FL Primary

Addresses

Primary practice location

11285 SW 211TH St
Miami, FL 33189-2211

Mailing address

7040 Coral Way
Miami, FL 33155-1697
Phone (305) 610-4097

Other names 1

  • Mr. Ediel Perez Noguera Professional name

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

State licenses

LicenseStateTypeSpecialty
RBT-24-323508FLMDBehavior Technician
CBHCM0106402-PFLMDCase Management Agency

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1548027899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 CORAL WAY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551697",
            "telephone_number": "305-610-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 SW 211TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331892211",
            "telephone_number": "786-633-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ NOGUERA",
        "first_name": "EDIEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "CBHCM0106402-P",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-323508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDIEL",
            "last_name": "PEREZ NOGUERA",
            "prefix": "MR.",
            "credential": "RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 4, 2024; 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.