Individual provider Active NPI

Iluminada De Las Mercedes Romero Perez, REGISTER BEHAVIOR TE

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1609426055
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-73573 Issued in FL
Practice address
1865 W 72ND St
Hialeah, FL 33014-4446
Phone
(786) 380-3738
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT1873573 FL
Behavior Technician 106S00000X 18-73573 FL Primary

Addresses

Primary practice location

1865 W 72ND St
Hialeah, FL 33014-4446

Mailing address

1865 W 72ND St
Hialeah, FL 33014-4446
Phone (786) 380-3738

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
18-73573FLMDBehavior Technician
RBT1873573FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
A.C.E. Behavioral Agency Inc. PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1609426055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144446",
            "telephone_number": "786-380-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144446",
            "telephone_number": "786-380-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO PEREZ",
        "first_name": "ILUMINADA",
        "middle_name": "DE LAS MERCEDES",
        "credential": "REGISTER BEHAVIOR TE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT1873573",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-73573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.