Individual provider Active NPI

Eduardo Mieres Gonzalez, HHA, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1629849849
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-136895 Issued in FL
Practice address
13195 SW 134TH St Ste 101
Miami, FL 33186-4585
Phone
(786) 227-6830
Fax
(786) 524-2413
NPI assigned
Jan 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 RBT-20-136895 FL Primary

Addresses

Primary practice location

13195 SW 134TH St Ste 101
Miami, FL 33186-4585

Mailing address

14614 SW 174TH Ter
Miami, FL 33177-6642
Phone (786) 614-4846

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-20-136895FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Group LLC CurrentSince Jan 21, 2024 Accepting new patients

Locations

13195 SW 134th St
Ste 101
Miami, FL 33186
Phone (786) 227-6830

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1629849849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14614 SW 174TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776642",
            "telephone_number": "786-614-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 SW 134TH ST STE 101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864585",
            "telephone_number": "786-227-6830",
            "fax_number": "786-524-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIERES GONZALEZ",
        "first_name": "EDUARDO",
        "credential": "HHA, RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-136895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 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.